Looking Forward
2004-2005 ANNUAL REPORT Looking Forward s
t Table of Contents n e t n
o 3 . . . . Letter from the Executive Director C
f 4 . . . . Executive Summary o
e 6 . . . . Achieving Indiana’s Tobacco Prevention and Cessation 2005 Objectives l b Tobacco Use Burden on Indiana a 12 . . . T 38 . . . Tobacco Control Policy 50 . . . Indiana’s Tobacco Settlement Appropriations 53 . . . ITPC Organizational Chart and Staff 54 . . . Executive Board Structure / Members 56 . . . Advisory Board Structure / Members 57 . . . Vision and Mission Statement 58 . . . The Hoosier Model 60 . . . ITPC Annual Accomplishments 66 . . . Evaluation and Surveillance 78 . . . Community Programs 92 . . . Statewide Public Education Campaign 100 . . Enforcement of Youth Access Laws 104 . . Administration and Management 106 . . Annual Budget 107 . . Annual Financial Report 110 . . ITPC Coalitions by County 172 . . Policy Charts
2 2004-2005 ANNUAL REPORT
Greetings from the Executive Director - Karla S. Sneegas, M.P.H.
With so much work going on at ITPC during our fourth year, we publish a lot of numbers, statistics, rankings, and studies. We are making great strides in Indiana. But, behind every one of those statistics is a person, a family, a daughter, mother, son, father, aunt, uncle, or grandparent who has either lost their life or is missed by a family member taken away too soon. For every Johnny Carson or Peter Jennings we see on national TV, there are still 27 Hoosiers dying each day from the devastation tobacco brings.
Recently I received a letter that touched my heart and gave me the resolve to keep fighting to save more Hoosiers from tobacco-caused death and disease. The letter came from Mr. Williams. He quit smoking at age 42, but before he quit, his daughter started smoking. He begged her to quit. She said she would when he did. He quit at age 42. His daughter did not keep her part of the bargain. And she never will. She died at age 41 from diseases caused by tobacco use. She left behind two daughters, age 12 and 13, who are now being raised by their grandparents.
I think about Mr. Williams and his daughter, and the young girls who have had their mother taken away. There are 1,800 Hoosier children living without their moms because of tobacco, and another 4,700 Hoosier children who have lost their dads.
As you will find in this year’s annual report, we have great news to report in the fight to save Hoosiers from the devastation caused by tobacco. One of our proudest moments came last spring when youth working with VOICE, Indiana’s youth movement against tobacco, reported that smoking among high school students decreased 32% between 2000-2004, surpassing our 2005 objective.
The youth who started VOICE in 2002 are now in college or out in the workplace. Many are as involved in VOICE as when it began. They are training a new generation for Indiana’s VOICE movement, working to improve their college campus tobacco policies, and demanding that their workplaces and community public venues be 100% smoke free. As one VOICE college trainer put it... ”Adults have been preaching to us to do the right thing when it comes to smoking, now that we’re 18 we expect adults to do the right thing in protecting us from other people’s smoke.”
Hoosier adults are starting to listen to this new generation of young people. Consider this: • 25 hospital and health care facilities took their grounds smoke free in Indiana this year, twice the number of tobacco free hospital policy changes in 2004. • Adults have declared their homes smoke free- a move that improves family member’s ability to quit smoking and stay quit, while also protecting the entire family from the toxins in secondhand smoke. • By the Spring of 2006, over 20 percent of Hoosiers will be protected by local smoke free air ordinances, up from 3 percent in 2000. • 45% of Hoosier youth are protected by 100% tobacco free school campus policies. • Eighty-seven percent of the top employers in Indiana’s counties report a smoke free building policy, up from 68% in 2003.
Despite these significant victories, our job is far from over. Indiana continues to struggle with the human and financial toll that comes from our cultural and physical addiction to tobacco. Medical costs attributable directly to smoking still total $1.9 billion in Indiana annually. Smoking pre- vention and cessation is truly a bargain when you consider the financial toll our State and employers carry.
Mr. Williams shared his story hoping it will help save others. On behalf of Mr. Williams and the thousands of Hoosier families affected by tobacco use, we have much more work to do. Thank you for taking the time to read this year’s annual report and for the help of each and every Hoosier who has contributed to the success so far. With your help, we will keep Indiana looking forward to a more tobacco-free future.
3 Looking Forward
y continues to analyze data and produce fact sheets to r Executive Summary
a share tobacco use behavior, attitude and belief trends Tobacco use costs Hoosiers 9,700 lives and $1.9 billion m in Indiana. each year. With the 7th highest adult smoking rate in the m • The Indiana Air Monitoring Study found that full-time u United States, Hoosiers must continue to take action in S bar and restaurant employees are exposed on the job
e reducing the tobacco burden and reversing its devastating
v to more than seven times the annual limit of fine i
t effects through the Indiana Tobacco Prevention and particulate air pollution recommended by the EPA. u Cessation (ITPC) programs. The Indiana Tobacco Use c • ITPC continues to work with the State Board of Accounts e Prevention and Cessation Trust Fund and Executive Board x to have field auditors around the state visit the ITPC E exists to prevent and reduce the use of all tobacco products partners and perform monitoring engagements. SBOA in Indiana and to protect citizens from exposure to tobacco has completed a total of 279 monitoring engagements, smoke. Following the Centers for Disease Control and 87 in SFY 2005. Prevention (CDC) Best Practices for Tobacco Control, Indiana established a tobacco control program that is Community Programs: coordinated, comprehensive and accountable. The Hoosier • All of Indiana’s 92 counties received a grant to Model for tobacco control incorporates elements from all conduct tobacco prevention and cessation in their nine categories recommended by the CDC and has five communities, including setting up resources to help major categories for funding. The Hoosier Model consists smokers quit. Over 1,600 organizations are involved of Evaluation and Surveillance; Community Based locally, including 25 local and state minority Programs; Statewide Public Education Campaign; organizations and 12 organizations working on Enforcement of Youth Access Laws; and statewide programs. Administration and Management. • ITPC local partners have conducted over 18,000 activities at the community level, such as implementing ITPC’s program can report many accomplishments in the prevention and education programs in schools, developing state fiscal year 2005 and is changing knowledge, attitudes cessation networks, working to protect Hoosiers from and beliefs regarding tobacco use. The increased awareness secondhand smoke, engaging local businesses, and and education that have occurred in the past four years is a raising awareness of tobacco prevention efforts. precursor to dramatically reducing Indiana’s tobacco use rate. • Forty-five percent (45%) of Hoosier youth are protected from secondhand smoke in schools. In 25 counties all Overall Highlights: school districts are tobacco free, another 34 counties • Youth smoking among high school students report a portion of their school districts with tobacco decreased 32% from 2000 (32%) to 2004 (21%); free campuses. surpassing ITPC’s 2005 objective. • Five regional VOICE Hubs, representing 54 partners • Adult smoking significantly decreased 10% were established. Each hub provides technical from 2002 (27.7%) to 2004 (24.9%). assistance for local adults and youth on youth • Twenty-five (25) hospital and health care facilities advocacy and how to build and sustain their local are taking their grounds smoke free in 2005, twice the VOICE movements. VOICE Hubs conducted Adults as number of tobacco free policy changes in 2004. Allies, Media Literacy and Advocacy, and Leadership Intensive Training for a total of 258 youth and Evaluation: 120 adults. • ITPC conducted the 2nd adult and 3rd youth tobacco surveys, as well as the 4th media tracking survey. ITPC’s evaluation and research coordinating center
4 2004-2005 ANNUAL REPORT
Statewide Public Education Campaign: • Seven out of ten Indiana youth and adults have seen an advertisement from the ITPC campaign. Confirmed awareness of the ads has A Closer Look steadily increased over the past few years as every county in the state is being reached by the campaign. • Youth who were aware of at least one ITPC ad were 59% more Indiana Teen Smoking Now Below likely to understand that tobacco is addictive and dangerous National Average compared to those not aware of any ITPC ads. • Adult smokers who had confirmed awareness of an ITPC TV ad The 2004 Indiana Youth Tobacco Survey shows that smoking rates among were twice as likely to try to quit smoking in the past year. Hoosiers in grades 9-12 dropped to 21 percent compared to 32 percent in • Hoosiers are reached through the website, www.WhiteLies.tv, that 2000. This represents a 32 percent decline in smoking prevalence over educates on the negative health consequences of tobacco use and the four year period bringing Indiana’s high school smoking rate below the the burden on Hoosiers. That site has received over 261,000 visitors, national average. Additionally, the smoking rate among Hoosier middle while the youth-focused website, www.voice.tv, has had over school students in grades 6-8 showed a 20 percent decline from 9.8 percent 76,000 visitors. in 2000 to 7.8 percent in 2004. • ITPC partners with many events throughout Indiana, including the 3rd annual tobacco-free day at the Indiana State Fair, Indiana Black Expo's Summer Celebration, Circle City Classic, Fiesta Indianapolis, Women’s Expo, county fairs and other community events. • Indiana news media have generated nearly 3,000 articles in SFY 2005 on tobacco control stories, specifically about the local coalition activities and issues surrounding secondhand smoke. This brings the total to more than 7,500 since SFY 2003. Seven counties doubled or tripled their newsprint coverage of tobacco topics from the previous year and four counties had over 100 news items this year.
Enforcement of Indiana’s Youth Access to Tobacco Laws: • The ITPC partnership with the Alcohol and Tobacco Commission (ATC) has reduced the non-compliance rate of tobacco retail sales to minors from 29% in October 2001 to 14% in SFY 2005. • TRIP officers conducted 9,100 retailer inspections, averaging over 750 inspections per month in SFY 2005.
Administration and Management: • ITPC strengthened its partnership with the State Personnel Department to promote quitting smoking to all state employees through personnel communication, working through health plans, promoting resources, and regular contact with all agency human resources directors.
The increased awareness and education that have occurred in the past four years is a precursor to dramatically reducing Indiana’s tobacco use rate. 5 Looking Forward s n e o Achieving Indiana’s Tobacco Prevention and Cessation i v t i t n c e 2005 Objectives e v j e b r O P Objective Baseline Measures 2005 Measures Data Source(s) 5 o 0 c Decrease the overall cigarette Indiana’s adult smoking rate in Indiana’s adult cigarette smoking Behavior Risk Factor Surveillance 0 c 1 2
a smoking rate in Indiana from 2000 was 26.9%. rate of 24.9% indicates a significant Survey (BRFSS) b n 27% to 22%. decline since 2002 (27.7%). o o i T At that time the national rate t s a
’ was 23%. Indiana’s adult smoking rate s a
s remains higher than the U.S. rate n e
a of 20.8%. i C d d n 2 n I Decrease the current cigarette In 2000, the 9th to 12th grade The cigarette smoking rate of 9th Indiana Youth Tobacco Survey (YTS) a
g smoking rates among 9th to 12th smoking rate was 31.6%. to 12th grade students in Indiana and National Youth Tobacco Survey n i grade students in Indiana. was 21.3% in 2004. This is a (NYTS)-2000, 2004 v The 2000 national average statistically significant drop of e i was 28.5%. 32% from 2000. h c A Nationally, cigarette smoking among grades 9th to 12th is 22.3%.
Decrease the cigarette smoking In 2000, the 6th to 8th grade The cigarette smoking rate of 6th Indiana Youth Tobacco Survey (YTS) rates among 6th to 8th grade smoking rate was 9.8%. to 8th grade students was 7.8% in and National Youth Tobacco Survey students in Indiana. 2004, a decline of 20% from 2000. (NYTS)-2000, 2004 The national average was 9.2%. Nationally, the current smoking rate for grades 6th to 8th is 8.1%.
Decrease the percent of babies The state rate of smoking during In 2003, 18.5% of Indiana’s These data are available from the born to mothers who smoked pregnancy was 21% in 1999. women smoked during pregnancy. Indiana Birth Certificate Data, during pregnancy in Indiana While the decline is not Indiana Natality Report4 -2003 from 21% to 15%. The national average is 12%.3 statistically significant it does suggest the beginning of a downward trend.
The national average remains 12%.
1 The Behavior Risk Factor Surveillance Survey (BRFSS) is a national survey conducted at the state-level to monitor state-level prevalence of the major behavioral risks among adults associated with premature morbidity and mortality. The BRFSS defines “current smokers” as a person who has ever smoked 100 or more cigarettes and smokes “every day” or “some days”. The Indiana State Department of Health conducts the BRFSS. While ITPC will continue to use the BRFSS data as a primary prevalence measure, in 2002 and 2004 the Indiana Adult Tobacco Survey (ATS) were conducted providing another valuable source of Indiana adult smoking rates. These data reported adult smoking rates at 27% and 28.4% respectively. However these rates are not statistically different from each other or the BRFSS rates reported. 2 The Youth Tobacco Survey (YTS) is a national survey endorsed by the Centers for Disease Control and Prevention (CDC) and the American Legacy Foundation. This survey will be conducted in alternating years to produce biannual prevalence rates for youth in grades 6th through 12th. These surveys define “current smoking” as is the student who smoked cigarettes one or more days in the past thirty (30) days. 3 Mathews T. Smoking during pregnancy in the 1990s. National vital statistics reports; vol 49 no 7. Hyattsville, Maryland: National Center for Health Statistics. 2001. No new national data is available at this time. 4 The Indiana Natality Report includes information on births to Indiana residents. Information is presented at the state, county, and city level (the 26 largest cities). This report includes data by age, race, and marital status of the parents; characteristics of the newborn such as birth order and congenital anomalies; and outcome indicators such as alcohol and tobacco use during pregnancy, gestation length, and birth weight. 6 2004-2005 ANNUAL REPORT
Achieving Indiana’s Tobacco Prevention and Cessation 2005 Objectives Continued...
Objective Baseline Measures 2005 Measures Data Source(s)
Increase the number of individuals In 2002-2003, the following base- In 2005, this objective can be 2004-2005 ITPC community-based who have access to a smoking lines measures were established: measured by: partnership applications, October 2003; cessation benefit through their top 5 employers by county health insurance coverage. 1. Percent of insurance companies 1. Percent of insurance companies offering smoking cessation. ITPC offering smoking cessation. No partnered with the Indiana State data is available and current coverage 2006-2007 ITPC community-based Medical Association (ISMA) through of smoking cessation varies greatly partnership applications, May 2005; the Statewide Community Programs among insurance plans. Top 5 or 10 employers by county5 to begin working with major insurance carriers in Indiana. No data was 2. Percent of employers that offer available and current coverage of smoking cessation benefits. No Indiana ATS-2002, 2004 smoking cessation varies greatly statewide data are available on among insurance plans. smoking cessation benefits offered by employers. Of Indiana’s large 2. Percent of employers that offer employers approximately 36% provide smoking cessation benefits. No cessation through their worksite statewide data are available on while fewer offer benefits through smoking cessation benefits offered employer-provided health plans by employers. However, of Indiana’s (27%). This is a nominal increase large employers approximately one- since 2003. third provide cessation through their worksite (34%) but fewer 3. Percent of members that have offer benefits through employer- smoking cessation benefits. In provided health plans (20%). 2004, only 17.6% of Indiana smokers were aware that their insurance 3. Percent of members that have plan covers cessation services. Twenty- smoking cessation benefits. In three percent (22.7%) indicate that 2002, 14.5% of Indiana smokers their coverage does not pay for were aware that their insurance cessation services. One-third plan covers cessation services. (32.4%) of Indiana adult smokers One out of four Indiana adult are not aware whether or not their smokers (25.4%) indicate that health insurance covers cessation their coverage does not pay for assistance. A small improvement cessation services. Forty-one since 2002. percent (40.7%) of Indiana adult smokers were not aware whether or not their health insurance covers cessation assistance.
5 Data provided by local ITPC partners working with employers within their communities to address the needs of the workers, provide guidance for smoke free policy and services to help employees quit smoking.
7 Looking Forward s n e o Achieving Indiana’s Tobacco Prevention and Cessation i v t i t n
c Continued... e 2005 Objectives e v j e b r O P Objective Baseline Measures 2005 Measures Data Source(s) 5 o 0 c Increase the number of smokers In 2001, 69% of adult smokers In 2004, 74.9% of adult smokers Indiana BRFSS-2001 0 c 2
a who receive smoking cessation seeing a physician in the past 12 who reported visiting a physician b n advice and support when they months report being advised to received advice to quit smoking Indiana ATS-2004 o o i T visit their primary care providers. quit smoking. within the past 12 months. t s a
’ Indiana YTS-2000, 2004 s a
s In 2000, 27.6% of youth smokers In 2004, 24.1% of youth smokers n e
a reported visiting a physician and reported visiting a physician and i C
d receiving information about the receiving information about the d n n I dangers of smoking from the dangers of smoking from the
a 6 g doctor or staff. doctor or staff. n i v Increase the percentage of retail In 2001, 71% of the retailers In SFY 2005 the average Tobacco Retailer Inspection e i merchants who are in compliance were compliant with the tobacco compliance rate among Program (TRIP)7 h c with youth access laws. sales laws. retailers inspected was 86%. A
Decrease the percentage of In 2002, 45% of middle school In 2004, 58% of middle school Indiana YTS-2002, 2004 children exposed to secondhand youth and 49% of high school youth and 62% of high school youth smoke in their homes. youth reported smoke free homes .8 reported smoke free homes. Indiana ATS-2002, 2004
In 2002, 60.5% of children (0-18) In 2004, 65% of children (0-18) live in smoke free homes. live in smoke free homes.
Increase the percentage of schools In 2000, 93.2% of all youth report In 2004, 95.2% of all youth report Indiana YTS-2000, 20049 with policies prohibiting tobacco not having smoked on school not having smoked on school campus products on their premises. campus within the past 30 days. within the past 30 days. ITPC school policy tracking In 2000, 70.8% of youth smokers In 2004, 70.2% of youth smokers indicated that they had not smoked indicated that they had not smoked on campus within the past 30 days. on campus within the past 30 days.
In 2005, 45% of youth are protected from secondhand smoke in schools. Twenty-five (25) counties have all tobacco free schools districts with another 34 counties having a portion of their school districts with tobacco free campuses. However, the remaining 33 counties do not have a tobacco free campus at any of the school districts in their counties.
6 The Youth Tobacco Survey does not specifically ask if a physician has discussed “cessation options” with the youth patient, but it does ask if the physician has discussed the “dangers of tobacco use” with the patient. This measure could be proxy to get information on physicians talking with youth about cessation. 7 Indiana Alcohol and Tobacco Commission (ATC) conducts the Tobacco Retailer Inspection Program (TRIP). TRIP is the source of data for monitoring routine compliance checks throughout Indiana. TRIP is a routine surveillance system that inspects tobacco retailers throughout the year. The Synar amendment requires States to conduct compliance checks at a specific time period once a year. 8 The percentage of youth who reported no smoking allowed in their homes 9 Current questions of the YTS ask if a student has smoked on smoking property in the past thirty (30) days. This may serve as a proxy to current tobacco use policies and enforcement of such policies. 2004-2005 ANNUAL REPORT
Achieving Indiana’s Tobacco Prevention and Cessation 2005 Objectives Continued...
Objective Baseline Measures 2005 Measures Data Source(s)
Increase the percentage of colleges In 2003, of 12 institutions working In 2005, of these 12 institutions: Smokefree Indiana11 and universities that have a policy on tobacco control, 50% have smoke -11 report that a majority of residence requiring smoke-free dormitories free residence halls and all have halls are smoke free10 and buildings. smoke free school buildings. -11 report smoke free entrance- ways for all residence halls -9 do not allow tobacco sales on campus, -9 campuses report smoke free sporting and intramural events.
Increase the percentage of day care ITPC sought to develop this objective No data is available None identified centers with policies prohibiting and identify data sources. for this measure. tobacco products on their premises. While licensed day care centers currently have smoking restrictions12, ITPC seeks to have these restrictions extended to the grounds of the day care centers.
In addition, ITPC encourages any unlicensed day care providers to prohibit smoking in all areas.
Increase the percentage of In 1999, an estimated 42% of In 2004, 72.5% of adults’ indoor Current Population Survey individuals who work in a Indiana workers were employed work policy prohibits smoking in (CPS)-199913 smoke-free environment. in a smoke free worksite. all work areas. Indiana ATS-2002, 2004 In 2002, 70.7% of adults’ indoor work policy prohibits smoking in all work areas.
Increase the percentage of ITPC community-based partners A list of smoke free restaurants can ITPC partners update this list restaurants that are totally conducted local restaurant surveys be found at an online dining guide as needed. smoke-free. in 2002. at www.WhiteLies.tv.
10 Some are commuter campuses 11 Smokefree Indiana has worked with the following colleges: Ball State, Butler, Indiana State, Indiana University: Bloomington & Northwest, IUPUI, IU-Northwest, Purdue University at West Lafayette, Calumet and North Central, Valparaiso, and Vincennes. All 52 colleges and universities listed on the Indiana Commission for Higher Education website have been surveyed. At this time data collection is not complete. 12 Smoking is restricted to designated areas in a public building licensed as a childcare home or registered as a child care ministry. IND. CODE §§ 16-41-37-1 et seq. 13 Shopland D, Gerlach K, Burns D, Hartman A, Gibson J. State-specific trends in smoke-free workplace policy coverage. The Current Population Survey Tobacco Use Supplement, 1993 to 1999.
9 Looking Forward s n e o Achieving Indiana’s Tobacco Prevention and Cessation i v t i t n
c Continued... e 2005 Objectives e v j e b r O P Objective Baseline Measures 2005 Measures Data Source(s) 5 o 0 c Monitor the percent of hospitalization ITPC sought to develop Review of these data has Hospital admission and 0 c 2
a admissions attributable to smoking this objective and identify not be conducted. This discharge data b n or tobacco use-related illnesses. data sources. data source will be helpful o o i T in evaluating the impact t s a
’ of smoke free policy in s a
s local communities. n e a i C
d Monitor tobacco-related deaths. In 2000, an estimated 10,300 Approximately 9,700 persons die Smoking-Attributable Mortality, d n n I persons die each year from tobacco- each year from tobacco-related Morbidity and Economic Costs
a 14 g related illnesses in Indiana. illnesses in Indiana. (SAMMEC) n i v e i Monitor tobacco consumption. In SFY 2001, 739 million cigarette In SFY 2005, 598 million cigarette Indiana Department of h c tax stamps were sold. tax stamps were sold. A decline Revenue (DOR)15 A of 19% from SFY 2001.
Monitor the number and type of ITPC tracks policy changes at the Hospitals-49 hospitals and major ITPC policy tracking and tobacco-related ordinances. community level, however, data by medical centers have tobacco free program reporting16 venue varies. campuses. Ten facilities implemented policies in 2004 with 25 implementing In 2003, data from the top five largest in 2005. employers from each county in Indiana indicated that 68% have Schools-138 of the 310 school completely smoke free indoor work districts have a tobacco free campus. areas. However, very few (15%) of these large employers had smoke City and County Government free grounds. Buildings-236 city buildings and 131 county buildings statewide are smoke free.
In 2005, data from the top five to ten employers by county showed an increase to 87% with smoke free buildings. However, only 13% 14 Centers for Disease Control and Prevention. In 2000, data from 1995-1999 were of these employers have smoke used to calculate these estimates. This was updated in 2005 using 1997-2001 data. free grounds. 15 DOR collects data on tax revenue from cigarettes and other tobacco products sold. 16 These data are based on ITPC policy tracking and from the 2006-2007 applications As of June 30, 2005, 3 Indiana for community-based partnerships and doesn’t include data from Ohio and Kosciusko communities have a smoke free counties. Under each venue reported, there may be some overlap. For example, workplace ordinance, with the a school may also be a large employer. implementation of an additional ordinance coming in March 2006. See Policy section for additional details.
10 2004-2005 ANNUAL REPORT
Achieving Indiana’s Tobacco Prevention and Cessation 2005 Objectives Continued...
Objective Baseline Measures 2005 Measures Data Source(s)
Measure knowledge and attitudes YOUTH YOUTH Indiana YTS-2000, 2004 related to tobacco In 2000, the proportion of middle In 2004, the proportion of middle school youth reporting, “not open to school youth reporting, “not open 2002, 2005 Indiana Media Tracking smoking” is 54.3%. to smoking” increased to 59.4%. Survey on Youth
In 2000, the proportion of high In 2004, the proportion of high 2002, 2005 Indiana Media Tracking school youth reporting “not open school youth reporting “not open Survey on Adults to smoking” is 27.7%. to smoking” increased to 38.6%. Indiana ATS-2002, 2004 In 2002, 31% of youth strongly In 2005, 61% of youth strongly disagreed that smoking is cool and disagreed that smoking is cool and that smokers have more friends. that mokers have more friends.
In 2001, 10.2% of youth reported that In 2005, 11.5% of youth reported that smoking is not socially acceptable. smoking is not socially acceptable.
ADULT ADULT In 2002, 2.0% of adults strongly In 2005, 2.2% of adults strongly feel that smoking is not social feel that smoking is not social acceptability. acceptability.
In 2002, the proportion of adult In 2004, the proportion of adult smokers who attempted to quit smokers who attempted to quit smoking was 48.5%. smoking was 47.6%.
In 2002, the knowledge of dangers In 2004, the knowledge of dangers of “reduced exposure tobacco of “reduced exposure tobacco products” was 25%. products” increased slightly to 33%.
Proportion of adults that believe that exposure to secondhand smoke is a serious health hazard is 60%.
Seventy-one percent (71%) of adults support smoke free worksite policies.
Reduce health care expenditures. Smoking attributable direct medical Smoking attributable direct medical Sustaining State Funding for cost is $1.6 billion annually. cost is $1.9 billion annually17. Tobacco Control: Data Highlights-2004
17 The costs have remained the same however the $1.9B was adjusted to 2004 dollars.
11 Looking Forward a
n Tobacco Use Burden a i
d on Indiana
n 22
I Tobacco use is the single most preventable cause of death population and unhealthy lifestyles, such as smoking . n and disease in the United States. Smoking alone is These increases in insurance premiums are not directly o associated with increases in total spending on services, n responsible for 438,000 premature deaths in the United e States annually, killing more people than alcohol, AIDS, but are a result of unhealthy behaviors. d r
u car accidents, illegal drugs, murders and suicides,
B combined18. Close to 9,700 of these deaths happen to Smoking-attributable direct medical expenditures are rising, e 19 s Hoosiers . These include deaths from lung and other largely because of medical care inflation and inflation- U cancers, cardiovascular diseases, infant deaths attributed adjusted, real increases in health care expenditures in the o c to maternal smoking, and burn deaths. These premature United States. As all states struggle to curb Medicaid c a deaths also include smoking-attributable, fire-related deaths costs, it is important to note that about 16% or $380 b o and deaths from lung cancer and heart disease attributable million of all Indiana Medicaid expenditures are related to T to exposure to secondhand smoke. smoking. Medicaid costs related to smoking increased by 32.9% from 1993-1998 in Indiana23. Economic Impact In addition to the enormous personal, social, and emotional If Indiana would continue its current tobacco prevention toll of tobacco-related diseases, tobacco use has significant program over the next 25 years, it would spend less than economic impact. Tobacco costs the United States it spends caring for dying and sick smokers in just one year. an estimated $75.5 billion annually in medical expenses Indiana’s comprehensive tobacco control program can save and $92 billion in lost productivity20. Smoking-attributable the state millions of taxpayer dollars. If Indiana reduced direct medical expenditures totaled $1.9 billion in Indiana smoking by 25%, it would save Indiana taxpayers over each year. These expenditures include annual individual $20 million per year in smoking-related Medicaid costs23. expenditures for four types of medical services, including ambulatory care, hospital care, prescription drugs, and other Indiana can save millions on Medicaid: care (including home health care, nonprescription drugs, Lifetime Healthcare Savings and other non-durable medical products). This calculates to Adult Medicaid Smoker that Quits $1,340 $312 per Hoosier in direct medical expenses related to Youth Medicaid enrollee that quits $1,950 smoking regardless of whether they smoke or not. Indiana or does not start smoking spends $5.73 in smoking related costs to the State for every pack of cigarettes sold21. A report prepared for the • There are an estimated 276,856 smokers enrolled Indiana Hospital & Health Association by Pricewaterhouse in Indiana’s Medicaid program. At $1,950 each Coopers states that Indiana’s increase in health insurance that equates to a total cost of $539 million24. premiums can be attributed to volume, increased labor costs, and other costs to the hospital. Nearly half of this increase is due to volume, which is driven by an aging 22 The Cost of Caring: Key Drivers in Hoosier Healthcare Spending, February 2004. 18 Centers for Disease Control and Prevention, unpublished data, 2002 Indiana Hospital and Health Association. Pricewaterhouse Coopers. 19 Centers for Disease Control and Prevention. MMWR — Annual Smoking 23 Campaign for Tobacco Free Kids Fact Sheet, “Increasing State Smoking-caused –Attributable Mortality, Years of Potential Life Lost, and Productivity Losses — Medicaid Costs and Future Medicaid Savings from a 25% Reduction to State United States, 1997–2001. MMWR Highlights. 1 July 2005. Vol. 54. No. 25. Smoking Rates”, April 15, 2004. 20 Centers for Disease Control and Prevention. MMWR — Annual Smoking 24 Smokers have lifetime health costs that are $12,000 higher than nonsmokers, –Attributable Mortality, Years of Potential Life Lost, and Productivity Losses — despite the fact that the smokers, on average, die younger than nonsmokers. Data United States, 1997–2001. MMWR Highlights. 1 July 2005. Vol. 54. No. 25. from Hodgsen, “Cigarette Smoking and Lifetime Medical Expenditures, The Millbank 21 Centers for Disease Control and Prevention. Sustaining State Programs for Tobacco Quarterly provides data in estimating the costs of a smoker to the State’s Medicaid Control: Data Highlights 2004. Atlanta, GA: U. S. Department of Health and Human program ($1950). This data is from 1992 and is not adjusted for inflation and is Services, Centers for Disease Control and Prevention, National Center for Chronic a conservative figure. These include public and private health care costs.; Number Disease Prevention and Health Promotion, Office on Smoking and Health. of Medicaid enrollees in Indiana (SFY 2003) 707,168. http://www.cms.hhs.gov/medi- caid/managedcare/mcsten03.pdf 2004-2005 ANNUAL REPORT
Tobacco’s burden on business Businesses are constantly looking for ways to cut costs and increase productivity. The health of employees is the major factor in a business’s bottom line. Tobacco use among Hoosiers is a burden for Indiana and Seeing Further business. When employees smoke, they are not the only ones who pay. Increased medical costs, higher insurance rates, added maintenance expenses, lower productivity, and higher rates of absenteeism from Indiana Governor Mitch Daniels-INShape Indiana news release, July 13, 2005: smoking costs American businesses billions every year. “Too many Hoosiers are losing years because they Employees who smoke get sick more often and thus are more expensive do not embrace healthy habits. And, health care to employers than nonsmoking employees. The U.S. Office of Technology costs in Indiana are among the highest in the and Assessment reported that current smokers averaged almost three country. Our rising cost of health insurance times as much sick leave as non-smokers, and significantly more sick leave than former smokers. Employees that smoke visit healthcare coverage, combined with lost productivity due professionals up to six times more often than non-smokers25. They are to illness, has made Indiana a less desirable admitted to the hospital almost twice as often as non-smokers; average place to do business.” 1.4 additional days in the hospital per admission over non-smokers;
26 and incur more workplace injuries than non-smokers . A study of 300 Michael “Mickey” Maurer booking clerks at a large U.S. airline found that smokers are absent from Indiana Economic Development Corporation work for sickness as many as 6.16 days per year on average, compared Printed in Indianapolis Star, April 13, 2005 (John Fritze) with 3.86 days for those employees who never smoke27. Studies on “When we as a state go out to try to entice businesses workplaces have also shown workers’ compensation costs for a smoker averaged $2,189 compared to only $176 for a nonsmoker28. In addition, to come to our state and say that we’ve got a first- costs for employee absences include temporary replacements and class place to do business, a place where we are lowered productivity and morale among employees who are on the job proud of our workers and our quality life, isn’t that dealing with the absences. Smoking can cost employers an extra $45 (intertwined with) Smoke Free Indy? A first-class per year for accidental injury and related workers’ compensation costs29. Finally, higher carbon monoxide levels, eye irritation, and city is one that takes care of all of its workers, lower attentiveness of smokers can cause an increase in inefficiency including its restaurant and bar workers, as well. and errors. So, what we’re talking about, at least from my point
Together, medical costs and the cost of lost productivity are a heavy of view in my new job (with economic development), burden to employers. Economic costs of smoking are estimated that a first-class city…has got to have an ordinance to be about $3,391 per smoker per year: $1,760 in lost productivity like this. I’ve done a lot of research, trying to figure and $1,623 in excess medical expenditures30. out what the best way to promote Indianapolis and
25 Berman K. “Firms hope smoking bans will trim health costs”. Business Insurance. Indiana is, and I know that there are well over 1,000 October 12, 1987;21(41):16-17 26 Halpern MT et al. “Impact of smoking status on workplace absenteeism and productivity”. cities….that have already done this, including Tobacco Control 10(3): 233-38, September 2001. provinces and even countries. Look, it’s going 27 Musich S , Napier D, Edington DW. “The association of health risks with workers’ compensation costs”. Journal of Occupational and Environmental Medicine. 43(6): 534-41, June 2001 to happen, It’s going to get here…” 28 July 2001, Journal of Occupational and Environmental Medicine; Study of over 3000 Xerox corp. employees 29 Kristein MM. American Health Foundation. “How much can business expect to profit from smoking cessation?” Preventive Medicine 1983; 12:358-381. 30 Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Economic Costs --- United States, 1995-1999, US Public Health Service, Centers for Disease Control and Prevention, 13 Morbidity and Mortality Weekly, April 12, 2002 / 51(14);300-3 Looking Forward
A smoke free workplace contributes positively to the bottom over time. It costs between 10 and 40 cents per member a n line. Smoke free laws add value to establishments. per month to provide a comprehensive tobacco cessation a i
d Restaurants in smokefree cities have a higher market benefit (costs vary based on utilization and dependent n
I value at resale (an average of 16% higher) than comparable coverage)35. In contrast, the annual cost of tobacco use n restaurants located in smoke-filled cities31. Making is about $3,391 per smoker nationally or about $5.73 for o
36 n workplaces smoke free will lower business costs and each pack of cigarettes sold in Indiana . Researchers at e
d produce a healthier workforce. Eliminating tobacco use the University of Michigan simulated the financial results r u in the workplace projects a positive image to the public of a workplace cessation program. The results suggested B and demonstrates pride in your business and the products that, by the third year, the savings to the company matched e s and services your company delivers. the total costs of the cessation program. By the fifth year, U 37
o the financial benefits were almost twice the costs . c Fires are another concern. Cigarette-caused fires are the c a #1 cause of fire death in U.S. Direct property loss due to fires Cost Benefit Analysis of Cessation Programs b 32 o in the U.S. was an estimated $10.6 billion in 2001 . Health Offered by Employers: T and fire insurance premiums can be 25% to 35% lower for Estimated # Total Estimated smoke free businesses, and morbidity and fire statistics of employees Cost suggest that premium discounts should be as high as 70%33. who smoke Estimated cost $1,300 Benefits of a smoke free workplace: of smokers ______$______to employer • Improvement in employee and visitor health Estimated cost of $45 • Lower absenteeism and increased productivity cessation program ______$______• Employee support for non-smoking policies to employer • Reduced liability of claims Total Potential • Lower maintenance costs Savings $______• Lower insurance premiums Working to help employers reduce health care costs Tobacco Cessation is a Bargain In November 2003, ITPC and the Indiana State Personnel Among Preventive Health Measures Department (SPD) announced its partnership to promote Paying for tobacco use cessation treatments is the single quitting smoking to all state employees. ITPC will share most cost-effective health insurance benefit for adults that information through a variety of communication tools aimed can be provided to employees34. There are few preventive at state workers, such as state personnel newsletter, state health interventions that are more cost-effective than agency websites, regular contact with all agency human tobacco cessation. The potential savings from tobacco resource directors and ISPD events throughout the year to cessation are directly related to the costs of tobacco to promote new and existing resources to help people quit your organization. Recent studies suggest the benefits of smoking. The State is Indiana’s second largest employer cessation outweigh the costs and, in fact, offer a net gain with 35,000 employees and over 80,000 lives covered
31 Alamar, B.; Glantz, SA “Smoke-Free Ordinances Increase Restaurant Profit and 35 Schauffler HH, McMenamin S, Olsen K, Boyce-Smith G, Rideout JA, Kamil J. Value.” Contemporary Economic Policy, 22 (4), October 2004, 520-525. Variations in treatment benefits influence smoking cessation: results of a randomized 32 “The dollars (and sense) benefits of having a smoke-free workplace.” Michigan controlled trial. Tobacco Control 2001;10:175–80.; Curry SJ, Grothaus MA, McAfee T, Department of Community Health. Pabiniak C. Use and cost effectiveness of smoking-cessation services under four 33 Dr. William L. Weis, Associate Professor of Business Administration, insurance plans in a health maintenance organization. New England Journal of Albert School of Business, Seattle University Medicine 1998; 339(10):673–79. 34 Warner KE. Cost effectiveness of smoking-cessation therapies. Interpretation 36 Centers for Disease Control and Prevention. Annual smoking-attributable mortality, of the evidence and implications for coverage. Pharmacoeconomics years of potential life lost, and economic costs—United States, 1995_1999. 1997;11(6):538–49. ;Cummings SR, Rubin SM, Oster G. The cost-effectiveness Morbidity and Mortality Weekly Report 2002;51(14); 300–03. of counseling smokers to quit. Journal of the American Medical Association 37 Warner, K., et.al. cited in Business & Health, Vol. 15, #8, Supplement A, Medical 1989;261(1):75–79. ;Coffield AB, Maciosek MV, McGinnis JM, et al.. Priorities Economics, Montvale, NJ. among recommended clinical preventive services. American Journal of Preventive Medicine, 2001; 21(1) 1-9 2004-2005 ANNUAL REPORT
under the State’s health plans. By reducing tobacco use Figure 1: Surrounding States Adult Smoking and improving the overall health of state workers, the plan SURROUNDINGPrevalence, STATES ADULT 2004 SMOKING PREVALENCE will also work to reduce healthcare costs. ND 19.9% MN 20.7%
WI 21.9% One of the State’s health plans, M-Plan, offers its web-based MI 23.3% smoking cessation program to all state employees regardless SD 20.3% IA 20.8% of their health plan membership. ITPC hopes this partnership OH 25.9% NE 20.3% IL 22.2% with employers to serve as a model for local grantees as IN 24.9% the ITPC program focuses on ways to not only improve overall KS 19.8% MO 24.1% health, but to also bring significant cost savings to the KY 27.5% State. With local coalitions working in Indiana’s 92 counties, With the exception of Kentucky and Ohio, Indiana has higher adult the state agency already has the resources in place to smoking rates than its border states and the Midwest region. work with any Indiana business looking to encourage tobacco cessation. While one in four Hoosier adults smoke, some differences are seen in comparing smoking by gender, race/ethnicity Adult Smoking and age. Adult smoking rates for men (26.8%) remain In 2004, more than 1.1 million adults in Indiana smoked slightly higher than those for women (23.1%). Hoosier cigarettes. This makes up 24.9% of the State’s adult smoking rates by gender are more than 20% higher than population. Indiana is consistently in the list of states with the all states median as illustrated in Chart 1: Adult the highest smoking rates and consistently higher than the Smoking Prevalence, Indiana vs. U.S. United States, where the adult smoking rate is 20.8%. However, from 2002 (27.7%) to 2004 (24.9%), Indiana has Smoking rates in Indiana are varied among race/ethnic seen a significant decline of 10%. Indiana ranke 7th highest and age groups. As illustrated in Chart 2: Indiana Adult in adult smoking among states. Indiana measures its adult Smoking Prevalence, Race/Ethnicity, 2004, White Hoosiers smoking prevalence using the Indiana Behavior Risk Factor (24.4%) have a smoking rate similar to the State with Surveillance Survey (BRFSS) which data is collected annually 1 million smokers. Similar to Whites, the smoking rate and can be consistently compared with other states. among Latinos is 22.8%, with 36,000 smokers. However, African Americans adult smoking rate is higher among Table 1: Highest 10 States by Adult Smoking Hoosiers than other race/ethnic groups at 27.4% with Prevalence, 2004 105,000 smokers. These slight percent differences among Rank State Smoking Rates race/ethnic groups are not statistically significant from 1 Kentucky 27.5% one another. 2 West Virginia 26.9% 3 Tennessee 26.2% 4 Oklahoma 26.1% Also illustrated in Chart 3: Indiana Adult Smoking 5 Ohio 25.9% Prevalence, Age, 2004, approximately thirty percent of 6 Arkansas 25.6% adults ages 25-44 report current smoking, with 27-28% of 7 Alabama 24.9% the 18-24 and 45-54 age groups smoking. Smoking 7 Indiana 24.9% declines with ages 55 and older. 9 Alaska 24.8% 10 Mississippi 24.5%
In 2004, Indiana’s smoking rate was 25%. The states with the highest adult smoking rates are listed above. States’ smoking rates range from 11% in Utah to 28% in Kentucky.
15 Looking Forward
Chart 1: Adult Smoking Prevalence, Indiana vs. U.S. Chart 3: Indiana Adult Smoking Prevalence, Age, 2004 a n 30% 35% a Indiana i U.S. d 26.8% 30% 25% n 30.6% 30.1%
I 24.9% 28.2% 23.0% 23.1% 27.1% 25% n 20% 20.8% o 19.0%
n 20% 21.1% e 15% d 15% r u 10% B 10% 10.8% e
s 5% 5% U
o 0% 0% All Adults c Male Female 18-24 25-34 35-44 45-54 55-64 65+ c Smoking by Hoosier men and women is higher than U.S. men and women. a The highest smoking rates are found in the 25-44 age groups with smoking b o rates declining as age increases.
T Smoking by Hoosier adults also varies by level of education. Nearly 42% of adults with less than a high school education currently smoke. As shown in Chart 4: Indiana Chart 4: Indiana Adult Smoking, Education Level, 2004 Adult Smoking, Education Level, 2004, as level of education 45%
increases, smoking rates among groups decrease. 40% 41.7%
35% Chart 2: Indiana Adult Smoking Prevalence, Race/Ethnicity, 2004 30% 29.4% 30% 25% 24.9%
20% 27.4% 25%
24.4% 15% 22.8%
20% 10% 10.8%
5% 15%
0% Less Than H.S. H.S. or G.E.D. Some Post-H.S. College Graduate 10%
5% Among those adults without a high school diploma 41.7% smoke. Smoking rates decline as education increases; 10.8% of college gradu-
0% White African American Latino ates are current smokers. The smoking rate for African American adults appears to be slightly higher than Whites, Latinos, and the State rate. However, no statistical In 2004, Indiana collected adult smoking prevalence estimates differences were found among race/ethnic groups. for geographic areas smaller than the state through the Indiana Adult Tobacco Survey (IATS). Smoking rates by region range from 25.1% in Northeast and North Central Indiana to 33.8% in Central West Indiana, however there are no statistical differences among these rates or between the 2002 IATS.
16 2004-2005 ANNUAL REPORT
Figure 2: Map of Indiana Adult Smoking Prevalence by Chart 6: Current Smoking by Youth, Indiana vs. U.S., 2004
Region, 2004 25% Indiana U.S.
22.3% 20% 21.3%
15%
10%
7.8% 8.1%
5%
0% 6th to 8th 9th to 12th
Indiana’s youth smoking rates are lower than the national averages for the first time.
Adult smoking rates by region show no statistically significant differences Smoking rates for middle school girls is higher than that among regions or the State. for boys. However, smoking rates for high school girls and Youth Smoking boys are similar to the state rate. There are no significant Approximately 21.3% of Indiana high school (9th to 12th differences in middle school smoking among race/ethnic grades) and 7.8% of middle school (6th to 8th grades) students groups as shown in Chart 7: Indiana Youth Smoking by report current cigarette use. This is a 32% decline among Race/Ethnicity, Middle and High School Students, 2004. Indiana high school students since 2000. A decline of 20% There are differences between White and African American was also seen among middle school students. Indiana’s high school youth. The rate for White and Hispanic students youth smoking rates are lower than the national averages is similar to the state average, while the rate for African for the first time38. The greater decline in high school smoking Americans is lower. A similar trend is seen among middle occurred between 2000 and 2002, then the decrease slowed school youth although not as dramatic. while still significant between 2002 and 2004. Chart 7: Indiana Youth Smoking by Race/Ethnicity, Middle and High School Students, 2004
Chart 5: Indiana Youth Smoking, 2000-2004 25%
35% White African American Latino 22.3% 22.7% 30% 20% -32% 25%
20% 15%
15% 12.6%
-20% 10% 10%
8.1% 8.1% 5% 5% 6.2%
0% 2000 2002 2004 6th to 8th 9.8% 8.6% 7.8% 9th to 12th 31.6% 23.4% 21.3% 0% Middle School High School For high school students the smoking rates dropped by 32% between Smoking rates among middle school youth do not vary by race for middle 2000 and 2004. Middle school smoking rates declined by 20% from 2000 school youth. However, smoking rates among African American high to 2004. school youth are lower than for White and Latino youth.
38 2004 National Youth Tobacco Survey. NYTS is a comparable instrument conducted nationally by the American Legacy Foundation. Looking Forward
Smoking rates increase as youth age. As shown in Chart In comparing the smoking rates among grade levels for a n 8: Indiana Youth Smoking by Grade, 2004, approximately the years 2000, 2002 and 2004, one can see the significant a i
d 5% of 6th grade students are current smokers increasing decrease from 2000 for grades 8-12 as shown in n
I to 10% by the time students are 8th graders, and then a Chart 9: Indiana Youth Smoking by Grade, 2000-2004. n jump to 19% of 9th and 10th grade students smoking The trend for grades 8-12 is similar in 2002 and 2004, o
n then increasing to 25% when they are 12th graders. The with 2004 being lower. The largest drop can be seen in e
d increase that occurs between the grades of 8th and 9th the 12th and 10th grades, respectively. Rates at the 6th r u gives insight to the youth that need targeted interventions and 7th grade levels remain unchanged. B during this time. e s Susceptibility to Tobacco U
o Chart 8: Indiana Youth Smoking by Grade, 2004 Analyses of data on smoking uptake and cessation indicators c 30%
c suggest that Indiana youth are responding to local and a state tobacco control programs that are funded through b 25% o 25.6%
T ITPC efforts. The percent of youth that report being “not 22.9% open to smoking” increased significantly for both middle 20%
19.1% 18.5% school and high school youth. By the definition of “not
15% open to smoking”, these results indicate that more Indiana high school students would not consider smoking
10% 10.2% in the future or when offered a cigarette by a friend, 8.2% thus suggesting stronger anti-smoking attitudes that 5% 4.9% prevent smoking initiation.
0% 6th 7th 8th 9th 10th 11th 12th The proportion of middle school youth that report, Smoking increases as youth age with rates ranging from 5% in 6th “prior experimenting” with smoking significantly graders to 25% in 12th graders. dropped from 2002 to 2004. While the percent of high school youth that report being an “established smoker” Chart 9: Indiana Youth Smoking by Grade, 2000-2004 reduced to 11% with significant declines in 2002 and 2004. 45%
2000 40% 2002 2004 Influences 35% Home and social influences impact youth smoking. Youth 30% that report living with someone who smokes are more likely
25% to smoke themselves. Youth that have at least one friend that
39 20% smokes are also more likely to have a history of smoking . As the level of experience in smoking rises, the greater 15% the proportion of youth reporting influence by others on 10% their smoking status. 5%
0% 6th 7th 8th 9th 10th 11th 12th
Smoking rates have dropped the most among 12th graders between 2000 and 2004.
39 Middle school frequent user was 100% due to one observation.
18 2004-2005 ANNUAL REPORT
Charts 10, 11 and 12: Smoking Uptake, Middle School Students, Charts 14, 15 and 16: Smoking Uptake, High School Students, 2000, 2002 and 2004 2000, 2002 and 2004
Established Smokers 2% Established smokers Early Smokers 11% 18%
Not open to smoking Early smokers 30% 14% Prior Experimenters 24% 2000 Not Open to Smoking 57%
Open to smoking 4% Open to Smoking 6% Prior Experimentors 34%
Established Smokers Established smokers 2% 14% Early Smokers 10%
Early smokers 10% Not open to smoking 35%
Prior Experimenters 24% 2002 Not Open to Smoking 56%
Prior Experimentors Open to Smoking 36% Open to smoking 8% 5%
Established smokers Established Smokers 2% 11% Early Smokers 10%
Early smokers 11% Not open to smoking 42% Prior Experimenters 19% 2004
Not Open to Smoking 63%
Open to Smoking 6% Prior Experimentors 32% Open to smoking 4%
Percentage of middle school students who reported being “prior experimenters” Percentage of high school students who reported being “not open to smoking” decreased significantly from 24% in 2002 to 19% in 2004 increased significantly from 30% in 2000 to 42% in 2004
19 Looking Forward
Chart 17: Youth living with someone who Chart 19: Exposure to pro-tobacco messages a n smokes cigarettes by smoking status, 2004 among current smokers, 2004 a i 100% 100% d Never Smoker Middle School n Ever Smoker High School I 92.4% Current Smoker Frequent Smoker 89.3% n 86.2% 80% 80% o 79.3% n 74.4% e d 64.5% r 60% 60% u 57.6% 55.9% B
e 48.2% 40% s 40% 41.4% U
o 31.4% 30.9% 26.2% c 20%
c 22.3% 20% a b o
T 0% When watching TV/Movies, I see actors When using the Internet, I see 0% When watching TV, I see athletes using using tobacco "most of the time" and advertisements for tobacco products Middle School High School tobacco "most of the time" and Youth see"some pro-tobacco of the time" images mostly"some of from the time" actors on" mostTV ofand the time" in andmovies. "some of the time" Youth living with someone that smokes are more likely to be current and frequent smokers. Brand Preferences Exposure to tobacco marketing strongly influences the Chart 18: Youth with one friend who smokes cigarettes by smoking status, 2004 brand of cigarettes smoked by youth.
100% 100% Never User Ever User In 2004, among middle school smokers: Current User 90.4% Frequent User 87.9% • Approximately one-third (36%) reported they 80% smoked Marlboro 74.1% • Sixteen percent (16.5%) report no usual brand 68.0% 60% • Sixteen percent (15.7%) smoke Newport • Thirteen percent (13.3%) say they smoke another brand 40% 38.6% • Twelve percent (11.9%) smoke Camel
24.8% 24.8% 20% In 2004, among high school smokers: • Approximately half (52.4%) reported they
0% smoked Marlboro High School Middle School • Seventeen percent (17%) smoke Newport Youth with friends that smoke are more likely to smoke themselves. • Thirteen percent (13.6%) smoke Camel
Media Exposure These data show that middle school smokers have not yet Messages and images in the media glamorizing tobacco established the brand loyalty that high school smokers use have an influence on the social acceptability of smoking, have developed to these three most heavily advertised especially by youth. Youth, never smokers and current brands of cigarettes. smokers alike reported seeing these images in the media. Eight out of ten youth report seeing tobacco use by actors. More data from the 2004 Indiana Youth Tobacco Survey Approximately one-fourth report seeing athletes use can be found throughout this report and in the 2004 tobacco and one-third report seeing tobacco product Indiana YTS report at www.in.gov/itpc/research.asp. advertisements while using the internet. 2004-2005 ANNUAL REPORT
Tobacco’s Impact of Minority Populations Kool is a key brand for Brown & Williamson that seeks African American customers, since menthol cigarettes have African Americans historically been popular among African Americans. The Each year, approximately 45,000 African Americans die B&W promotion uses a hip-hop theme to promote Kool from a preventable smoking-related disease40. If current cigarettes, including special packs called Kool Mixx packs. trends continue, an estimated 1.6 million African Americans These packs feature images of juvenile-oriented disc jockeys, who are now under the age of 18 years will become regular hip-hop artists and dancers that display a “mural” as the smokers. About 500,000 of those smokers will die of a two packs are placed next to each other. These special smoking-related disease41. The rate for Hoosier African packs sell for the same price as other Kool products. Thirty Americans smokers is higher than the average African states, including Indiana, signed onto a letter from New American rate in the United States of 20%42. Indiana’s York’s Attorney General outlining intentions to file a lawsuit smoking rate for African Americans is 27.4% but does because of these marketing practices and the potential not differ statistically from the smoking rate for other violation of the MSA. B&W soon scaled back the promotion. race/ethnic groups, as shown in Chart 2: Indiana Adult Chart 2: Indiana Adult Smoking Prevalence, Smoking Prevalence, Race/Ethnicity, 2004. Race/Ethnicity, 2004
30% Other racial/ethnic differences show that approximately three 27.4% of every four African American smokers prefer menthol 25% 24.4% cigarettes. Menthol may facilitate absorption of harmful 22.8% 20% cigarette smoke constituents43. Seventy (70%) of African American smokers in Indiana smoke menthol cigarettes44. 15% Research also shows that youth and African Americans like 10% flavor cigarettes. In Indiana, 42% of middle school and
36% of high school smokers smoke menthols. Of African 5% American youth smokers in Indiana, 42% of middle school 0% and 63% of high school smokers usually smoke menthol White African American Latino cigarettes45. In 2004, Brown & Williamson Tobacco Company The smoking rate for African American adults appears to be slightly (B&W) and the promotion of their Kool cigarettes introduced higher than Whites, Latinos, and the State rate. However, no statistical differences were found among race/ethnic groups. a series of flavored cigarettes in special packs, marketed under the name "Smooth Fusions". The flavors include The tobacco industry attempts to maintain a positive “Midnight Berry”, “Caribbean Chill”, “Mintrigue”, and image and public support among African Americans by “Mocha Taboo”. The use of these flavors is further evidence supporting cultural events and making contributions to the company is targeting youths, especially black youth. minority higher education institutions, elected officials, R.J. Reynolds Tobacco Company, through its Camel brand civic and community organizations, and scholarship pro- has promoted similar flavors. grams. A one-year study found that three major African
40 Centers for Disease Control and Prevention, Office on Smoking and Health, 43 U.S. Department of Health and Human Services. Tobacco Use Among U.S. “African Americans and Tobacco”, Fact Sheet Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska 41 Centers for Disease Control and Prevention, Office on Smoking and Health, Natives, Asian Americans and Pacific Islanders, and Latinos: A Report of the Surgeon “African Americans and Tobacco”, Fact Sheet, Centers for Disease Control and General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Prevention. At-A-Glance. Tobacco Use Among U.S. Racial/Ethnic Minority Groups — Control and Prevention, 1998 African Americans, American Indians and Alaska Natives, Asian Americans and 44 2002 Indiana Adult Tobacco Survey. Pacific Islanders, and Hispanics, Atlanta: CDC, 1998. 45 2004 Indiana Youth Tobacco Survey. 42 2004 BRFSS, all states median. Looking Forward
American publications — Ebony, Jet, and Essence — Whites. Cigar use is similar in all groups while bidis are a n received proportionately higher profits from cigarette used among African American and Latino high school a i 46 d advertisements than did other magazines . youth more than White high school youth. n I n
o African American Youth Health Effects of Tobacco
n Approximately 6% of African American middle school students for African Americans e
d report current cigarette use. In Chart 20: Current tobacco African Americans have a higher lung cancer incidence r u use by Indiana African American Youth, Middle and High and mortality rates compared to Whites. Rates for new B School Students, 2004, we see that cigars (6.4%) and cases of lung cancer were 16% higher for African Americans e s cigarettes (6.2%) are the most commonly used forms of compared to Whites. In addition, African American men in U
o tobacco followed by bidis (4.3%). Use of these different Indiana have a higher mortality rate of lung and bronchus c
c forms of tobacco is similar among all race/ethnic cancer (117.7 per 100,000) than do White men (92.2 per a groups for middle school youth. 100,000). African American women (52.5 per 100,000) b o
T also have higher rates of death due to lung cancer than do Chart 20: Current tobacco use by Indiana African White women (45.1 per 100,000)47. African American men American Youth, Middle and High School Students, 2004 have the highest cancer burden in the U.S. and this excessive 15%
Middle School cancer burden is linked to smoking. Further, the study found High School that cancer death rates among African American males 12.6% 12.2% would decline by two-thirds if they did not smoke and that 10% tobacco smoke causes 63% of cancer deaths among black men in the U.S.48.
7.1% Smoking significantly elevates the risk of stroke. Stroke is 6.4% 6.2% 5% associated with cerebrovascular disease, a major cause of death in the United States. Cerebrovascular disease is 4.3% 4.1% 3.7% twice as high among African American men (53.1 per 2.9% 2.9% 100,000) as among White men (26.3 per 100,000) and twice as high among African American women (40.6 per 0% 49 Cigarette Spit Tobacco Cigars Bidis Pipe Tobacco 100,000) as among White women (22.6 per 100,000) . Cigarettes and cigars are the preferred form of tobacco use among African American youth. The proportion of youth using all tobacco products increases with school grade.
46 Centers for Disease Control and Prevention, Office on Smoking and Health, As youth age into high school, tobacco use among “African Americans and Tobacco”, Fact Sheet U.S. Department of Health and Human African American youth increases with cigarette use Services. Tobacco Use Among U.S. Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska Natives, Asian Americans and Pacific (12.6%) and cigar use (12.2%). There is also an increase Islanders, and Hispanics: A Report of the Surgeon General. Atlanta: U.S. Department in bidis use among high school students (7.1%). of Health and Human Services, Centers for Disease Control and Prevention, 1998. Significantly fewer African American high school youth 47 Indiana Cancer Facts and Figures 2003. 48 Leistikow B. “Lung cancer death rates as an index of smoke exposures: validation smoke cigarettes compared to the State’s overall against black male-non lung cancer death rates, 1969-2000. Preventive Medicine 38 rate (21%). In comparing African Americans to other (2004) 511-515; and August 2005. race/ethnic groups, a smaller proportion of African 49 U.S. Department of Health and Human Services. Tobacco Use Among U.S. American high school youth use spit tobacco compared to Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Latinos: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 1998 22 2004-2005 ANNUAL REPORT
Stroke and hypertension contribute to cardiovascular universities and colleges, and have supported scholarship disease deaths, which are the leading causes of deaths in programs targeting Hispanics. Tobacco companies have the U.S., including of African Americans. More people die also placed advertising in many Hispanic publications and of cardiovascular diseases attributed to smoking than contribute to cultural Hispanic events52. cancer50. Twenty one percent (21%) of all coronary heart disease deaths in the U.S. are due to smoking51. Latino Youth Approximately 8% of Latino middle school students currently Latinos smoke cigarettes, a similar rate for cigars (6%). As Latino The smoking rates for Latinos in Indiana is slightly higher middle school youth progress into high school, the proportion than all-states median for Latinos, however these rates are using all forms of tobacco increase by nearly three times. not statistically different (22.8% vs. 15.4%). The smoking Approximately 23% of Latino high school youth currently rate for Latinos in Indiana does not differ statistically from smoke cigarettes, while the second most used form smoking rate for other groups. of tobacco is cigar use with 17% of Latino high school students using these products, as shown in Chart 21: Chart 2: Indiana Adult Smoking Prevalence, Current tobacco use by Indiana Latino Youth, Middle and Race/Ethnicity, 2004 High School Students, 2004. This is followed by bidis 30% (10.1%) and spit tobacco (7.9%). The proportion of Latino
27.4% 25% high school students using bidis is significantly
24.4% 22.8% higher than the proportion of White youth using bidis. 20% Chart 21: Current tobacco use by Indiana Latino Youth, 15% Middle and High School Students, 2004
25.0% 10% Middle School High School 22.7%
5% 20.0%
0% White African American Latino 17.3% The smoking rate for African American adults appears to be slightly 15.0% higher than Whites, Latinos, and the State rate. However, no statistical differences were found among race/ethnic groups.
10.0% 10.1% Tobacco products are advertised and promoted disproportion- 8.1% 7.9% ately to racial/ethnic minority communities. These include 5.0% 5.9% target promotions that are marketed to the Hispanic American 5.3%
community to increase its credibility in the community. 2.8% 0.6% 1.6% Tobacco companies have contributed to programs that 0.0% Cigarette Spit Tobacco Cigars Bidis Pipe Tobacco enhance the primary and secondary education of children, Cigarettes and cigars are the preferred form of tobacco among Latino middle and high school youth. High school Latinos also have a higher proportion of bidis use compared to Whites.
50 Centers for Disease Control and Prevention. “Smoking attributable mortality and years of potential life lost-United States, 1990”, MMWR 42(33): 645-8. 51 U.S. Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress. A report of the Surgeon General, 1989. 52 Glode WF. RJR puts on the Ritz, PM goes to Rio. Advertising Age 1985 (56.2):1, 78; Leviten P. Manufacturers send changing smoking signals. Supermarket Business 1985 (40.12):39-43; and Walters DKH. Cigarettes: Makers Aim at Special Niches to Boost Sales. Los Angeles Times 1985 Sept 15; Business Section:1 (col 3).
23 Looking Forward
risk, but quitting is the best thing pregnant women can do for a Health Effects of Tobacco on Latinos n themselves and their baby. The benefits of quitting smoking a As with the U.S. overall, cancer, heart disease and stroke i d are the leading causes of death among Hoosier Latinos. Of can be seen immediately. After just one day of not smoking, n I cancers, lung cancer is the leading cause of cancer the baby will get more oxygen. While women experience with- n 53 drawal symptoms these are often signs that the body is heal- o deaths among Latinos . Lung cancer deaths are about n three times higher for Latino men (23.1 per 100,000) than ing. They are normal, temporary, and will lessen in a cou- e d for Latino women (7.7 per 100,000)54. ple of weeks. Quitting gives the mother more energy and r u helps make breathing easier. B
e Coronary heart disease is the leading cause of death s The rate of Indiana mothers who reported smoking during
U for Hispanics living in the United States. Death rates for o coronary heart disease were 82 per 100,000 for Mexican pregnancy is higher than the national average. Even more c c American men and 44.2 per 100,000 for Mexican alarming are rates in Indiana counties that exceed state and a national rates. Sixty-four (64) of Indiana’s 92 counties have b American women, 118.6 per 100,000 for Puerto Rican men o
T and 67.3 per 100,000 for Puerto Rican women, and 95.2 a smoking during pregnancy rate higher than the Indiana per 100,000 for Cuban men and 42.4 per 100,000 for average. All but five Indiana counties have a smoking during Cuban women55. pregnancy rates higher than the United States average. The county rates for women smoking during pregnancy Pregnant Women and Smoking range from 35.5% to 5.4%. The following table lists Smoking can impact the lives of even the youngest Hoosiers. Indiana’s counties along with the percentage of mothers who It is reported that 18.5% of women in Indiana smoked during reported smoking during pregnancy. pregnancy in 2003, a slight decline from 21% in 199856, 53 U.S. Department of Health and Human Services. Tobacco Use Among U.S. shown in Chart 22; Smoking During Pregnancy in Indiana, Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska 1998-2003. Smoking during pregnancy is associated Natives, Asian Americans and Pacific Islanders, and Latinos: A Report of the with poor health outcomes, such as low birth weight, pre- Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 1998. mature birth, growth retardation, and Sudden Infant Death 54 U.S. Department of Health and Human Services. Tobacco Use Among U.S. Syndrome (SIDS). Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Latinos: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers • Twenty to thirty percent (20-30%) of the cases of low for Disease Control and Prevention, 1998. 57 birth weight babies can be attributable to smoking . 55 U.S. Department of Health and Human Services. Tobacco Use Among U.S. • Women who smoke during pregnancy had more than Racial/Ethnic Minority Groups — African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the 58 twice the risk of delivering a low birth weight baby . Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers • Babies with mothers who smoked during pregnancy for Disease Control and Prevention, 1998. have twice the risk of SIDS and infants of 56 1998-2003 Indiana birth certificate data. Indiana State Department of Health. 57 Martin, J.A., et al. December 17, 2003. “Births: Final Data for 2002.” National 59 nonsmoking mothers . Vital Statistics Reports 52(10):1-113. Hyattsville, MD: National Center for • Women who smoke have a higher incidence Health Statistics. ; U.S. Department of Health and Human Services (USDHHS). 2000. of ectopic pregnancy. Healthy People 2010, 2nd Ed. U.S. Government Printing Office: Washington, DC. 58 Ventura, S.J. 2003. “Trends and Variations in Smoking during Pregnancy and • Pregnant smokers also have a 30-50% higher risk Low Birth Weight: Evidence from the Birth Certificate, 1990-2000.” Pediatrics for miscarriage than nonsmokers. 111(5 Part 2):1176-1180. 59 USDHHS. 2001. Women and Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Public Health Service: Rockville, MD, Pregnant smokers ready to quit should know that it's never Office of the Surgeon General, U.S. Government Printing Office: Washington DC. ; too late to quit smoking during your pregnancy. Many pregnant Gavin, N.I., et al. September 2001. Review and Meta-Analysis of the Evidence on women are tempted to cut down the number of cigarettes the Impact of Smoking on Perinatal Conditions Built into AMMEC II. Final Report to the National Center for Chronic Disease Prevention and Health Promotion. they smoke instead of quitting. Cutting down may reduce Research Triangle Park: Research Triangle Institute. 24 2004-2005 ANNUAL REPORT
Table 5: Percent of mothers who reported smoking during pregnancy, Indiana Counties, 2003
County Total Births % Smoked County Total Births % Smoked INDIANA 86,382 18.5 Martin 119 21.8 Adams 641 10.3 S Miami 451 27.1 S Allen 5,211 15.1 S Monroe 1,229 16.3 Bartholomew 1,004 19 Montgomery 466 26.2 S Benton 118 16.1 Morgan 873 23.1 S Blackford 163 28.8 Newton 155 28.4 Boone 699 13.4 Noble 678 23.5 Brown 157 17.8 Ohio 62 29 Carroll 237 16.5 Orange 239 25.9 Cass 548 25 S Owen 232 25 Clark 1,315 23.4 S Parke 205 30.7 S Clay 358 25.7 S Perry 233 32.6 S Clinton 510 19.4 Pike 135 25.2 Crawford 135 31.9 S Porter 1,873 15.8 Daviess 502 18.5 Posey 242 22.3 Dearborn 629 24.2 S Pulaski 164 26.2 Decatur 387 25.3 Putnam 404 27.5 S DeKalb 566 22.8 Randolph 321 24.9 Delaware 1,339 21 Ripley 396 22.2 Dubois 501 11 S Rush 217 27.6 S Elkhart 3,194 16.1 S St.Joseph 3,706 13.4 S Fayette 332 28.9 S Scott 293 31.1 S Floyd 826 22.2 Shelby 537 23.5 Fountain 217 23 Spencer 232 17.2 Franklin 264 22 Starke 280 29.3 S Fulton 263 27 S Steuben 419 25.3 S Gibson 430 23.5 Sullivan 266 24.1 Grant 799 24.3 S Switzerland 126 27.8 Greene 420 21.9 Tippecanoe 2,012 14.2 S Hamilton 3,637 5.4 S Tipton 200 18.5 Hancock 844 16.6 Union 74 28.4 Harrison 438 24.2 Vanderburgh 2,356 21.3 S Hendricks 1,505 10.6 S Vermillion 200 35.5 S Henry 559 23.8 Vigo 1,297 28.1 S Howard 1,217 24.2 S Wabash 373 23.6 Huntington 461 26.7 S Warren 94 17 Jackson 591 23.5 Warrick 641 15.1 Jasper 431 21.1 Washington 350 26.9 S Jay 332 23.8 Wayne 857 27.1 S Jefferson 365 31 S Wells 381 18.6 Jennings 359 28.4 S White 325 18.5 Johnson 1,705 15.2 S Whitley 427 18.5 Knox 474 30.8 S Kosciusko 1,059 17.2 SOURCE: Indiana State Department of Health, Epidemiology LaGrange 720 9 S Resource Center, Data Analysis Team. Lake 6,926 14.1 S "S" Significantly different from the state percent. LaPorte 1,309 25.1 S Percentages are calculated using total births in each county or Lawrence 547 25 S county/race category. Madison 1,596 23.6 S Marion 14,701 17.6 The proportion of pregnant women smoking during pregnancy Marshall 701 17.4 ranges from 5% to 35% by county.
25 Looking Forward
Chart 22; Smoking During Pregnancy in Indiana, Chart 23: Current use of all tobacco products by middle a n 1998-2003 school youth, Indiana vs. U.S., 2004 a i 25% 9% d Indiana
n U.S. I 8% 8.1%
n 7.8% o 7% 21.3%
n 20.9% e 20.2% 20.2% 6%
d 20% r 19.1% u 18.5% 5% 5.2% B 4.4% e 4% s U 3% 2.9% 3.0% o 0% 2.6% c 1998 1999 2000 2001 2002 2003 2.3% 2% 2.2% c
a 1.7% Smoking rates among Hoosier moms continue to decline, although b 1% o the rates are still high. T 0.0% Cigarette Cigars Spit Tobacco Bidis Pipe Tobacco Other tobacco use Hoosier middle school youth prefer cigarettes over other tobacco products. While cigarettes are the preferred form of tobacco use More Hoosier youth use bidis than other U.S. middle school youth. in Indiana, other products are used. Other tobacco products include spit or chewing tobacco, cigars, pipes, Chart 24: Current use of all tobacco products by high school youth, Indiana vs. U.S., 2004 and bidis. 25% Indiana U.S. Spit tobacco 22.3% 21.3% Approximately 17% of Hoosier adults have tried spit tobacco, 20% and of those adults 22% use these tobacco products every day or some days60. This is similar to the U.S. rate of 22%61. 15% Of those Indiana adults who use spit or chewing tobacco 13.7% every day or some days, one-fourth use less than one can 12.8% per week and one-third use 1-2 cans per week and 16% 10% use 3-4 cans of spit tobacco per week62. 7.3% 6.0% 5% 4.4% Approximately 2% of middle school and 7% of high school 3.8% 3.1% 2.6% youth currently use spit tobacco. More boys use spit 0.0% tobacco than girls for both middle school and high school. Cigarette Cigars Spit Tobacco Bidis Pipe Tobacco The proportion of high school boys using spit tobacco Hoosier high school youth prefer cigarettes as their forms of tobacco is nearly 5 times that of girls. use and use rates of other products are higher than the U.S.
60 2004 Indiana Adult Tobacco Survey As illustrated in Chart 23: Current use of all tobacco 61 1999 BRFSS 62 products by middle school youth, Indiana vs. U.S., 2004 2004 Indiana Adult Tobacco Survey and Chart 24: Current use of all tobacco products by high school youth, Indiana vs. U.S., 2004, spit tobacco use rates among middle school youth are lower than the rest of the nation, while the high school rates are higher.
26 2004-2005 ANNUAL REPORT
Cigars, Pipe tobacco and Bidis many diseases and reducing the health of smokers in general. Few middle school youth are regular users of cigars It also reminds everyone that quitting smoking has immediate (4.4%), while over 13% of high school youth currently as well as long-term benefits, such as reducing risks for smoke cigars. Less than 2% of middle school youth use diseases caused by smoking and improving overall health. pipes, while approximately 4% in high school do. In addition, the report stresses that smoking cigarettes Approximately 3% of middle and 4% of high school youth with lower machine-measured yields of tar and nicotine currently use bidis. Use rates for cigars, pipes and bidis by provides no clear benefit to health. Hoosier middle school youth are lower than the national rates except for bidis. The rates for high school youth in Chart 26: Annual Deaths in Indiana Caused by Major Smoking-related Diseases Indiana are higher than the national rates for cigars, bidis and pipes.
Health Consequences of Tobacco Use Respiratory Diseases 2,450 Cancers Smoking alone is responsible for an estimated 438,000 3,770 premature deaths in the United States annually with more than 9,700 deaths in Indiana. On average, persons who smoke cut their lives short by 14 years63. Smoking is the Cardiovascular major risk fact for cancers, heart diseases and strokes, the Diseases 3,480 leading causes of death in the U.S. and Indiana.
Chart 25: Annual Deaths From Smoking Compared with Selected Other Causes of Death Cardiovascular diseases cause nearly as many tobacco-related deaths to Hoosiers than cancers64. 440
400
) 360 s
d The Health Consequences of Smoking Report provides a n a s 320 u o
h list of diseases caused by smoking that has been expanded T
( 280 s h t a to include abdominal aortic aneurysm, acute myeloid
e 240 D f o r 200
e leukemia, cataract, cervical cancer, kidney cancer, b m u 160 N pancreatic cancer, pneumonia, periodontitis, and stomach 120 cancer. These are in addition to diseases previously known 80
40 to be caused by smoking, including bladder, esophageal,
0 AIDS Alcohol Motor Vehicle Fires Homicide Illicit Drugs Suicide Smoking laryngeal, lung, oral, and throat cancers, chronic lung * All Mortality data are for 1990, except alcohol, which is for 1987 diseases, coronary heart and cardiovascular diseases, as well
The number of deaths to tobacco far exceeds deaths by other causes. as reproductive effects and sudden infant death syndrome.
The Health Consequences of Smoking: A Report of the 63 MMWR — Annual Smoking–Attributable Mortality, Years of Potential Life Lost, and Surgeon General (2004) states that “smoking remains the Productivity Losses — United States, 1997–2001 MMWR Highlights July 1, 2005 / Vol. 54 / No. 25; Centers for Disease Control and Prevention leading cause of preventable death and has negative 64 Centers for Disease Control and Prevention. “Cigarette Smoking-related Mortality” impacts on people at all stages of life. It harms unborn Fact Sheet. http://www.cdc.gov/tobacco/research_data/health_consequences/mortali.htm babies, infants, children, adolescents, adults, and seniors.” The main findings of the report describe the harmful effects of smoking on nearly every organ of the body, causing
27 Looking Forward
Respiratory Health Cancer a n Smoking is a known cause of chronic obstructive pulmonary Cancer is the second leading cause of death and was a i
d disease (COPD), which includes chronic bronchitis and among the first diseases causally linked to smoking. More n
I emphysema65. Smoking accounts for 90% of all COPD deaths than 30% of all cancers are due to smoking72. The 2004 n in the U.S. According to the American Cancer Society’s Surgeon General’s report adds more evidence to previous o
n second Cancer Prevention Study, female smokers were conclusions that smoking causes cancers of the oral cavity, e
d nearly 13 times more likely to die from COPD as women pharynx, larynx, esophagus, lung, and bladder. The 2004 r u who had never smoked. Male smokers were nearly 12 report also lists newly identified cancers caused by smoking, B times more likely to die from COPD as men who had never including cancers of the stomach, cervix, kidney, and e s smoked66. Indiana has a 30% higher smoking attributable pancreas and acute myeloid leukemia73. For smoking- U 67
o death rate due to COPD compared to all other states . attributable cancers, the risk generally increases with c
c the number of cigarettes smoked and the number of years a Coronary Heart Disease and Stroke of smoking, and generally decreases after quitting completely. b o
T More than 61 million Americans suffer from some form of cardiovascular disease, including high blood pressure, 65 American Lung Association Fact Sheet. 2000 coronary heart disease, stroke, congestive heart failure, 66 U.S. Department of Health and Human Services. The Health Consequences of and other conditions. Coronary heart disease and Smoking: A Report of the Surgeon General. U.S. Department of Health and Human stroke are the main types of cardiovascular disease caused Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004 by smoking and are the leading causes of death in the 67 Centers for Disease Control and Prevention. Investment in Tobacco Control: State United States68. Highlights-2002. Atlanta, GA: U. S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2002. Twenty-one percent of all coronary heart disease deaths in 68 U.S. Department of Health and Human Services. The Health Consequences of the U.S. are due to smoking69. The smoking attributable Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic death rate for coronary heart disease in Indiana was 71 Disease Prevention and Health Promotion, Office on Smoking and Health, 2004. per 100,000 deaths in 1999, 20% higher than the all 69 US Department of Health and Human Services (HHS), Reducing the Health state average70. Consequences of Smoking: 25 Years of Progress. A report of the Surgeon General, DHHS Publication No 89-8911, 1989 70 Centers for Disease Control and Prevention. Investment in Tobacco Control: State Coronary heart disease results from atherosclerosis of the Highlights-2002. Atlanta, GA: U. S. Department of Health and Human Services, coronary arteries. Cigarette smoking releases toxins in Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2002. the blood contributing to the development of atherosclerosis, 71 U.S. Department of Health and Human Services. The Health Consequences of a progressive hardening of the arteries caused by the Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic deposit of fatty plaques and the scarring and thickening Disease Prevention and Health Promotion, Office on Smoking and Health, 2004. of the artery wall. Inflammation of the artery wall and the 72 “US Department of Health and Human Services (HHS), Reducing the Health development of blood clots can obstruct blood flow and Consequences of Smoking: 25 Years of Progress. A report of the Surgeon General, DHHS Publication No 89-8911, 1989. cause heart attacks or strokes. 73 U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Strokes are the third leading cause of death in the United Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004. States. Cigarette smoking is a major cause of strokes. The risk of stroke decreases steadily after smoking cessation. Former smokers have the same stroke risk as nonsmokers after 5 to 15 years71.
28 2004-2005 ANNUAL REPORT
Smoking causes about 90% of lung cancer deaths in men Chart 27: Lung and Bronchus Cancer Mortality Rates by and almost 80% in women74. Men who smoke increase their Race, Gender, Indiana vs. U.S., 2002 risk of death from lung cancer by more than 23 times. 100
Indiana Women who smoke increase their risk of dying from lung U.S. 75 88.3 cancer by nearly 13 times . In 1987, lung cancer sur- 86.5 80 passed breast cancer and the leading cause of cancer death among women. 73.5 64.9 63.9 60 62.2 0 0 0 , 54.9 55.2 The lung cancer incidence rates for Indiana men (108.2 0 0 1 r
e 48.7 per 100,000) are much higher than the national average. P 40 41.5 Incidence rates for women are similar in Indiana to the national rates (59.0 per 100,000)76. 24.2 24.4 20 Lung cancer is the leading cause of cancer mortality in
Indiana, killing an average of 3,900 Hoosiers per year 0.0 between 1998 and 2002. Between 1998 and 2002, an Overall White African American Hispanic Male Female average of 4,766 new cases of lung cancer were diagnosed In Indiana lung cancer mortality rates are higher for African Americans each year76. than for Whites and Hispanics. Mortality rates among Hoosier men and women are also higher than U.S. rates by gender.
Gender and race are also factors in lung cancer incidence 74 and mortality rates. Indiana males develop an average of U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers 2,700 new cases of lung cancer each year, compared to an for Disease Control and Prevention, National Center for Chronic Disease Prevention and average of 1,900 new cases in Indiana females. In any Health Promotion, Office on Smoking and Health, 2004. 75 Centers for Disease Control and Prevention. Smoking-attributable mortality and years given week, approximately 91 Hoosiers are diagnosed and of potential life lost — United States, 1990. Morbidity and Mortality Weekly Report about 75 Hoosiers die from lung cancer76. 1993;42(33):645-8. 76 1998-2002 data; Indiana State Department of Health — Indiana State Cancer Registry and the Epidemiology Resource Center, Data Analysis Team, July 2005. Indiana’s lung cancer mortality rates remain higher than 77 Created by statecancerprofiles.cancer.gov on 07/26/2005 10:09 am.; Death data provided the U.S. rates by 18% overall. When comparing these rates by the National Vital Statistics System public use data file. Death rates calculated by the by race, the mortality rate among Hoosier African Americans National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population by 5-year age groups. Population counts for denominators are based is 39% higher than for all U.S. African Americans, and on Census populations as modified by NCI. Hispanic mortality data for the United States 16% higher among Hoosier Whites than compared to the has been excluded for the following states: Connecticut, Louisiana, Maine, Maryland, Mississippi, New Hampshire, New York, North Dakota, Oklahoma, Vermont, and Virginia. U.S. There is no difference among Hispanics77. Mortality rates among Hoosier men and women are also higher than U.S. rates by 17-20% as shown in Chart 27: Lung and Bronchus Cancer Mortality Rates by Race, Gender, Indiana vs. U.S., 2002. Lung cancer causes more deaths every year than do colorectal, breast, and prostate cancers combined.
29 Looking Forward
Table 6: Average Indiana Lung Cancer Incidence Rates Ohio 28 89.6 a Orange 82 73.8 n by County, 1998 - 2002 a Owen 102 88.3 i
d Parke 86 85.2 County Count Rate n Perry 82 77.1 I Adams 75 45.5 Pike 63 81.7
n Allen 1,039 68.5 Porter 470 68.7 o Bartholomew 266 73.7 Posey 104 76.0 n Benton 52 100.0 Pulaski 41 51.2 e Blackford 71 84.7
d Putnam 156 88.2
r Boone 147 66.9 Randolph 129 79.3 u Brown 40 50.6 Ripley 96 69.6 B Carroll 57 51.2 Rush 95 93.8 e Cass 176 78.1 St. Joseph 1,074 79.3 s Clark 475 97.5
U Scott 115 105.1 Clay 155 102.3 Shelby 174 80.6 o Clinton 124 68.6 c Spencer 72 66.7 Crawford 51 88.1 c Starke 123 93.7
a Daviess 117 71.6 Steuben 112 70.1 b Dearborn 173 79.9
o Sullivan 113 94.6 Decatur 103 80.2 T Switzerland 39 81.9 DeKalb 129 69.2 Tippecanoe 417 75.7 Delaware 507 81.4 Tipton 63 66.5 Dubois 97 48.1 Union 16 43.3 Elkhart 545 67.4 Vanderburgh 851 86.9 Fayette 126 82.8 Vermillion 76 76.5 Floyd 333 93.5 Vigo 520 91.7 Fountain 97 90.6 Wabash 143 70.3 Franklin 54 48.4 Warren 21 43.7 Fulton 87 72.5 Warrick 194 77.1 Gibson 132 69.3 Washington 119 87.6 Grant 344 80.1 Wayne 381 90.4 Greene 171 87.0 Wells 62 41.6 Hamilton 379 61.2 White 99 67.4 Hancock 211 78.9 Whitley 100 62.9 Harrison 142 86.1 Indiana 23,830 79.3 Hendricks 353 79.6 Henry 238 80.7 Source: Indiana State Department of Health — Indiana State Howard 365 80.3 Cancer Registry and the Epidemiology Resource Center, Data Huntington 138 68.6 Analysis Team, July 2005. Jackson 206 95.8 Jasper 121 80.5 Rates are per 100,000 population age-adjusted to the 2000 U.S. Jay 73 57.7 Population Standard. Jefferson 160 94.9 Jennings 121 94.5 Forty-three counties have lung cancer incidence rates higher Johnson 390 74.6 than state average of 79 per 100,000. Knox 189 83.4 Kosciusko 238 65.5 LaGrange 96 65.3 Lung cancer incidence rates by county range from 41.6 per Lake 1,848 73.9 100,000 to 105.1 per 100,000. The Indiana average is LaPorte 463 78.7 Lawrence 235 87.7 79.3 per 100,00078. More than half of the lung cancer Madison 655 85.6 county incidence rates are lower than the state average. Marion 3,741 98.0 Marshall 169 72.6 Martin 40 67.3 Lung cancer mortality rates by county range from 34.8 per Miami 155 83.4 100,000 to 91.6 per 100,000. The Indiana average is 65 per Monroe 298 66.2 Montgomery 145 71.0 100,00078. The lung cancer mortality rates are lower than Morgan 269 87.5 the state average of 65 per 100,000 for 62% of the counties. Newton 74 96.9 Noble 145 70.4
78 1998-2002 data; Indiana State Department of Health — Indiana State Cancer Registry and the Epidemiology Resource Center, Data Analysis Team, July 2005. 2004-2005 ANNUAL REPORT
Table 7: Average Indiana Lung Cancer Mortality Rates by Marion 2,947 77.4 County, 1998 - 2002 Marshall 135 57.7 Martin 37 63.5 County Count Rate Miami 106 57.5 Adams 72 42.0 Monroe 261 58.0 Allen 860 56.7 Montgomery 117 57.4 Bartholomew 205 57.5 Morgan 216 71.6 Benton 40 74.1 Newton 64 84.9 Blackford 42 50.9 Noble 145 70.2 Boone 129 58.8 Ohio 26 83.2 Brown 53 64.3 Orange 78 71.6 Carroll 49 43.9 Owen 82 72.5 Cass 162 71.1 Parke 72 71.4 Clark 407 83.9 Perry 60 56.5 Clay 112 73.7 Pike 50 65.0 Clinton 107 58.2 Porter 392 57.8 Crawford 42 75.3 Posey 79 57.4 Daviess 96 58.0 Pulaski 34 41.9 Dearborn 158 73.9 Putnam 126 71.4 Decatur 78 60.3 Randolph 102 61.7 DeKalb 111 59.7 Ripley 67 48.2 Delaware 431 68.7 Rush 66 64.5 Dubois 90 44.8 St. Joseph 856 62.2 Elkhart 453 56.0 Scott 100 91.6 Fayette 102 67.5 Shelby 132 61.4 Floyd 268 75.3 Spencer 63 58.5 Fountain 68 61.7 Starke 104 80.1 Franklin 38 34.8 Steuben 98 62.1 Fulton 74 61.3 Sullivan 95 79.2 Gibson 115 60.0 Switzerland 28 59.2 Grant 287 66.7 Tippecanoe 355 64.6 Greene 124 62.7 Tipton 57 59.4 Hamilton 305 50.3 Union 16 43.9 Hancock 159 60.4 Vanderburgh 700 70.4 Harrison 121 74.0 Vermillion 66 67.0 Hendricks 268 60.9 Vigo 440 76.8 Henry 198 67.1 Wabash 120 58.5 Howard 324 71.1 Warren 28 58.8 Huntington 128 61.5 Warrick 159 64.4 Jackson 136 63.1 Washington 99 72.7 Jasper 88 58.7 Wayne 309 72.7 Jay 71 56.1 Wells 77 51.3 Jefferson 120 71.8 White 80 54.4 Jennings 115 91.5 Whitley 90 56.6 Johnson 351 67.4 Indiana 19,522 65.0 Knox 139 59.6 Kosciusko 205 57.1 Source: Indiana State Department of Health — Indiana State Cancer Registry and the Epidemiology LaGrange 72 49.4 Lake 1,548 62.0 Resource Center, Data Analysis Team, July 2005. LaPorte 374 63.5 Rates are per 100,000 population age-adjusted to the 2000 U.S. Lawrence 186 69.0 Population Standard. Madison 507 65.8 Thirty-five (35) counties with mortality rates are higher than state aver- age of 65 per 100,000.
31 Looking Forward
Witnessing smoking behavior inadvertently sends a message a Harmful Exposure n that smoking is acceptable and may encourage modeling a to Secondhand Smoke i d Secondhand smoke is a mixture of sidestream smoke and of the behavior. According to the 2004 Indiana Youth Tobacco n I exhaled smoke in the air. Secondhand smoke has been Survey, approximately sixty percent (60%) of youth in grades n 6-8 reported being in the same room with someone who is o shown to cause heart disease, cancer, respiratory problems n and eye and nasal irritation. Exposure to secondhand smoke smoking at least one day per week, while nearly 40% are e d takes place in the home, public places, worksites and vehicles. exposed three or more days each week. Among high school r u youth, 43% were exposed more than 3 days in the past B week, a decline from 51% in 2000. Exposure to smoke in e Secondhand smoke is classified as a Group A carcinogen s a car of at least one day in the past week also declined
U (cancer causing agent) under the Environmental o Protection Agency’s (EPA) carcinogen assessment guide- from 60% in 2000 to 48% in 2004. Improvements are being c c lines. Secondhand smoke contains over 4,000 compounds, seen among high school youth with less reported second- a 79 hand smoke exposure, however there has not been much b more than 50 carcinogens and other irritants and toxins . o
T change among middle school youth. Exposure to secondhand smoke is one of the leading causes of preventable death. Each year in the United States, an One in four youth (26%), grades 6-12, are exposed estimated 53,000 deaths are attributable to secondhand to secondhand smoke daily. Youth who are nonsmokers smoke breathed by nonsmokers, making it the third leading were less likely than current smokers to be exposed to others’ 86 cause of preventable death80. Of these deaths, 3,000 are smoking . These findings suggest even greater emphasis due to lung cancer each year with an estimated 800 from on encouraging smoke free homes and cars as well as exposure at home and 2,200 from exposure in work or encouraging youth to refuse being in smoke filled environment. social settings81. Table 8: Major Health Effects of Secondhand Smoke In Indiana each year 950-1,690 Hoosiers die from others’ Exposure in Children
smoking, such as exposure to secondhand smoke or smoking Sudden Infant Death Secondhand smoke causes during pregnancy82. Infants exposed to secondhand smoke Syndrome (SIDS) irritation of the airways; are two to four times more likely to share low birth weight83. Over maternal smoking is a risk factor for SIDS and 900 low birth weight babies in Indiana are born as a result lower birth weight of secondhand smoke84. Acute and Chronic Secondhand smoke particles Respiratory Illnesses get into the airways and Every day more than 15 million children are exposed alveoli; can increase severity with irritation of the lungs; to secondhand smoke in the home, including 420,000 greatest impact occurs during Hoosier children85. Millions of doctor visits and thousands of first year of life hospitalizations occur due to children’s exposure to second- Asthma Smoking during pregnancy hand smoke. may affect lung growth; secondhand smoke 79 U.S. Environmental Protection Agency (1989). Indoor Air Facts: Environmental increases risk of lower Tobacco Smoke; Centers for Disease Control and Prevention. respiratory infection 80 Glantz et al.(1995). Journal of American Medicine, 273, 13: 1047-1053. Middle Ear Disease Secondhand smoke exposure 81 CRS Report for Congress, Environmental Tobacco Smoke and Lung Cancer Risk; strongly linked with EPA (1994). Secondhand smoke-Setting the Record Straight. ear infections 82 http://tobaccofreekids.org/reports/settlements/TobaccoToll.php3?StateID=IN 83 Misra, D.P., and R. Nguyen. 1999. “Environmental Tobacco Smoke and Low Birth Weight: A Hazard in the Workplace?” Environmental Health Perspectives 107 85 Centers for Disease Control and Prevention,”State-specific prevalence of cigarette (Suppl 6):897-904. smoking among adults, and children’s and adolescent’s exposure to environmental 84 Secondhand Smoke Tearing Families Apart. The American Legacy Foundation. tobacco smoke-United States 1996”, MMWR 46(44). June 2004. 86 2004 Indiana Youth Tobacco Survey 2004-2005 ANNUAL REPORT
Table 8: Major Health Effects of Secondhand Smoke Approximately 4,500 ear infections cases attributable to Exposure in Children highlights the most common health secondhand smoke occur in Indiana each year, costing effects caused by secondhand smoke exposure in children. Hoosiers $2.2 million95. Children are especially affected by secondhand smoke because their bodies are still developing and can hinder Coronary heart disease the growth and function of their lungs. Exposure to Exposure to secondhand smoke, even in small amounts, secondhand smoke results in an estimated 1,900 to 2,700 increases the risk for coronary heart disease by 30%96. A sudden infant death syndrome (SIDS) deaths each year in study released in 2004 monitored the hospital admissions of the U.S.87 Hundreds of thousands of lung and bronchial in Helena, Montana for heart attacks during a sixth month infections are caused by secondhand smoke each year88. period97. Comparing those numbers to the same time period Children and infants exposed to secondhand smoke in the in the previous four years, and with data for the surrounding home have dramatically higher levels of respiratory symptoms area not affected by a smoke free law, researchers found a and respiratory tract infections89. Secondhand smoke exposure 40% drop in admissions for heart attacks from people living increases the number of new asthma cases and worsens or working in Helena (where a smoke free ordinance was in asthmatic symptoms. Children of parents who smoke also effect) and no change for people living farther away. have an increased number of respiratory infections and This study and other findings supporting the link between symptoms and slower lung development90. secondhand smoke exposure and heart disease prompted the CDC to issue a warning to people at risk for heart Asthma disease to avoid all buildings and gathering places that Asthma is the most common chronic illness among children. allow indoor smoking. This warning stressed that as little There is a strong association between exposure to secondhand as 30 minutes of exposure to secondhand smoke can have smoke, especially from parents, and childhood asthma91. a negative health effect. Asthma cases attributed to secondhand smoke cost the U.S. more the $236 million92. In Indiana, over 11,000 cases The effects of secondhand smoke exposure are nearly annually are attributed to secondhand smoke exposure as large as those experienced from active smoking98. costing nearly $9 million93. The cardiovascular mechanisms altered by exposure to secondhand smoke that increase the risk of heart disease Ear infections are complex. These include atherosclerosis, endothelial More than 24 million office visits to physicians occur each dysfunction, platelet activation, increase insulin resistance, year for acute ear infections in children under age 1594. among others. Research indicates that exposure to parental smoking is associated with a greater risk of ear infections.
87 DiFranza , J.R. and R.A. Lew, “Effect of Maternal Cigarette Smoking on Pregnancy Secondhand Smoke Tearing Families Apart. The American Legacy Foundation. June 2004. Complication and Sudden Infant Death Syndrome,” Journal of Family Practice 40(4): 95 DiFranza, J.R., and R.A. Lew. 1996. “Morbidity and Mortality in Children Associated 385-94. with the Use of Tobacco Products by Other People.” Pediatrics 97(4):560-568.; 88 Centers for Disease Control and Prevention. Secondhand Smoke Tearing Families Apart. The American Legacy Foundation. June 2004. 89 National Cancer Institute, National Institute of Health 96 National Cancer Institute. Health Effects of Exposure to Environmental Tobacco 90 Glantz S.A. Tobacco Biology and Politics: An Expose of Fraud and Deception. 1999. Smoke: The Report of the California Environmental Protection Agency, Smoking and 91 Committee on the Assessment of Asthma and Indoor Air. 2000. Clearing the Air: Tobacco Control. Bethesda, MD; Department of Health and Human Services, National Asthma and Indoor Air Exposures. Division of Health Promotion and Disease Institutes of Health, National Cancer Institute; 1999, Monograph 10. Prevention, Institute of Medicine, Chapter 7. ; Gold,D.R. 2000. “Environmental 97 Sargent RP, Shepard RM, Glantz SA. Reduced incidence of admission for myocar- Tobacco Smoke, Indoor Allergens, and Childhood Asthma.” Environmental Health dial infraction associate with public smoking ban: before and after study. BMJ 2004; Perspectives 108(suppl 4):643-651. 328: 977-80. 92 Secondhand Smoke Tearing Families Apart. The American Legacy Foundation. June 2004. 98 Barnoya J and Glantz SA. “Cardiovascular effects of secondhand smoke-nearly as 93 2002 National Health Interview Study large as smoking”, Circulation, 2005;111:2684-98. 94 DiFranza, J.R., and R.A. Lew. 1996. “Morbidity and Mortality in Children Associated with the Use of Tobacco Products by Other People.” Pediatrics 97(4):560-568.; Looking Forward
The truth about ventilation • Males were 40 percent less likely than females to have a n There is no safe level of secondhand smoke exposure; only tried to quit smoking in the past 12 months. a i d elimination of secondhand smoke can guarantee protec- • Adults in households with some kind of smoking rule n I tion from its effects. Opponents to smoke free policies (partial or full house ban) were 57 percent more likely n
o nearly always offer ventilation systems as an alternative to try to quit smoking and 197 percent more likely to n to eliminating secondhand smoke from indoor venues. successfully quit smoking. Sixty-five percent of e d However, no ventilation system has been designed that Hoosiers prohibit smoking in their homes in 2004. r u guarantees protection from exposure to secondhand smoke. • Heavy smokers were 43 percent less likely than light B The main purposes of ventilation systems are to limit the smokers to try to quit smoking. e s accumulation of carbon dioxide and to reduce odors. While • The youngest age group, 18–34 year olds, as well U
o there may be less visible smoke in the air, ventilation sys- as the oldest, 55 years and older, were both c 99 c tems do not eliminate the smoke’s toxins . significantly more likely than 35- to 54-year-olds a
b to have successfully quit smoking. o
T See the section on Pregnant Women and Smoking for additional information that describes the harmful effects Awareness of Cessation Resources of tobacco smoke exposure by infants and children. Getting help in quitting smoking allows smokers who want to quit to become non-smokers. Awareness of the resources Tobacco Cessation to quit smoking is an important step toward cessation. Quitting smoking is difficult to do, and with more than 1 In 2004, more Hoosier smokers reported availability of million adult smokers in Indiana, there are many people smoking cessation help at their work and coverage of that need help quitting. Despite the number of Hoosier smoking cessation services by the health insurance, smokers, more than 130,000 Hoosiers were successful in as shown in Chart 28: Smokers’ Awareness of Cessation quitting during 2004 and almost half (48%) tried to quit Resources. It is not clear from these data whether these smoking during that past year. However, the successful quit increases are due to more employees offering cessation rate remained low, with about 8 percent of Hoosiers success- help, more health insurance policies covering smoking fully quitting in 2004. These findings have not significant- cessation or smokers becoming more aware of these ly changed from 2002. resources. Even more promising 2004 results show that more smokers have tried to use nicotine replacement Other 2004 data showed: therapies in order to quit smoking than did in 2002. Since • Eighty-three percent (83%) of current smokers expect the use of nicotine replacement therapies involves sub- to quit at some time in their lives. stantial out-of-pocket costs to smokers, this trend sug- • Fifty-eight percent (58%) planning to quit in the next gests that Hoosier smokers are becoming more committed six months. to quitting. • Twenty-four percent (24%) in the next thirty days. 99 Repace, J., “Smoking in the workplace: ventilation. In: Smoking Policy: Questions and Answers, no. 5.,” Seattle: Smoking Policy Institute. Intentions to quit smoking indicate that many Hoosiers are thinking about changing their behaviors and moving toward a readiness to quit tobacco use. Several factors influence whether Hoosier adults have intentions to quit smoking or will attempt to quit, as well as their likelihood to succeed in quitting. The following predictors were identified in the 2004 Indiana Adult Tobacco Survey.
34 2004-2005 ANNUAL REPORT
Chart 28: Smokers’ Awareness of Cessation Resources 70% current smokers are confident in their ability to quit smoking.
65.9% 2002 However, data from 2004 indicate one in ten high school 60% 2004 60% smokers (10.3%) participated in cessation programs. 50% The rate of participation in cessation programs for middle 46.2% school students was 7% in 2004. Findings suggest that 40% much more can be done to raise young smokers’ awareness
30% 32.2% 33.3% of cessation resources, and encourage participation
24.5% in cessation programs to actualize the intent to quit 20% 20.2% 18.5% into permanent cessation.
10% Cessation services are available in all of Indiana’s 92 counties. 0.0 Smokers aware of cessation Employer offered cessation Health care coverage pays for Tried to quit by using nicotine assistance program or other help smoking cessation services patch, gum, or other medication Visit www.itpc.in.gov/community.asp to find the coalition working in your community. There has been a significant increase in awareness of cessation resources among smokers between 2002 and 2004.
Physician Consultation and Advice Chart 29: Cessation characteristics of youth smokers, 2004 In 2004, just over 70 percent of adults reported having seen 100% either a doctor, nurse, or other health care professional for Middle School High School themselves in the past year. Nearly 75% of adults visiting a health care professional in 2004 report the provider 80% asked about their smoking behaviors and advised them not to smoke. The most common type of assistance offered to 60% smokers by their health care providers was a medication
prescription (33 percent in 2004, including nicotine patch, 40% 71.5% gum, nasal spray, and pills). However, about a quarter of 72.3% 51.3% 56.9% the smokers were advised to set a quit date, and a similar 49.5% 52.7% 20% proportion of smokers were provided with cessation material by their health care professional. The role of health care professionals in motivating smokers to quit is significant. 0% Want to quit smoking Tried to quit smoking Confident in their ability to quit Research shows that smokers who received advice from a Most youth are confident about their ability to quit smoking. physician were 2.5 times more likely to want to quit smoking than those not receiving advice from their doctors100.
Youth Cessation Young smokers also want to quit smoking. In 2004, approximately half of current youth smokers want to quit smoking (49.5%-middle school; 51.3%-high school). More 100 than half have tried in quit smoking and seven out of ten 2002 Indiana Adult Tobacco Survey
35 Looking Forward
Chart 30: Indiana Cigarette Consumption a Cigarette Consumption n and Tax Revenue SFY 2002 to SFY 2005 a Cigarettes smoked by Hoosiers can be estimated through i 800 d the number cigarette tax stamps sold to tobacco retailer SFY2002 n SFY2005
I 742 distributors. Data on tax stamp sales are collected 700 n o through the Indiana Department of Revenue. The number of -19% 600 n cigarette stamps sold in SFY 2005 was slightly lower than 598 e d 500
r the number sold in SFY 2004, while there has been a signif- s n u o i l l icant decline since SFY 2002. In SFY 2005, 598 million i M B 400
e cigarette stamps were sold in Indiana, as illustrated in s +164% 300 $325 U Chart 30: Indiana Cigarette Consumption and Tax o Revenue, SFY 2002-2005. While the number of stamps c 200 c sold declined 19%, state revenue collected increased by a $123 b 164% since SFY 2002. 100 o T
0 Since SFY 2001, there has been an overall decline of 19% Cigarette Stamps Sold Revenue in cigarette consumption from 739 millions stamps Between SFY 2002 and SFY 2003 there was a drop in cigarette in SFY 2001 to 598 million stamps in SFY 2005. The stamps sold in Indiana. dramatic decrease occurred between SFY 2002 and SFY 2003 due to the 40-cent tax increase that took effect Chart 31: Indiana Cigarette Consumption, SFY 2001-2005 July 1, 2002, bringing Indiana’s tax to 800 55.5 cents per pack. However, Indiana’s
tax is lower than the current average 750 742 cigarette tax for all states of 89.8 cents. 739
The impact of the tax on cigarette 700 s consumption has slowed since SFY 2003. p m a t S f o
s 650 n o i l l i
M 617 605 598 600
550
500 SFY 2001 SFY 2002 SFY 2003 SFY 2004 SFY 2005
In Indiana, cigarette taxes have decreased cigarette smoking and increased state revenues.
36 2004-2005 ANNUAL REPORT
Seeing Clearly
African American Smoking Education at Martin University
A Martin University event was developed to educate members of the Indianapolis African American Community and others on the effects of secondhand smoke and smoking. There were over 130 people in attendance with two local television stations filming the event. The event was successful in distributing health facts on smoking, sharing information on local ordinances and in bringing the local Indianapolis community together about the tobacco issue.
Zionsville “Proud to be Smoke Free”
Lions Park in Zionsville, including the shelters, the gazebo, rental facilities and ball fields, have been declared smoke-free, with signs at the entrance boasting, “Proud to be smoke free Zionsville.”
The Zionsville Lions Club owns and operates the park and said the decision was a health and safety issue. “There are lots of little people in the park,” said Linda Guthrie, president of the Zionsville Lions Club. “Little people pick up cigarette butts.”
37 Looking Forward
y Tobacco Control Policy Among a sample of top minority-owned employers in 21 c i counties, 85 out of 119 businesses were smoke free l Policy change has been demonstrated as an effective strategy o indoors, with only 5 of those 85 also with a smoke free
P to change social norms regarding tobacco use and to combat the impact tobacco takes on our society. Tobacco grounds policy103. control policies include: • Protecting citizens and workers from exposure There are over 1,900 municipalities in the U.S. with local laws to secondhand smoke in effect that restrict where smoking is allowed. These • Funding comprehensive tobacco control programs include some of the largest cities, such as New York City, • Increasing tobacco taxes Los Angeles, San Diego, Dallas, San Francisco, and Boston. • Providing cessation coverage through health plans Sixteen states have state laws that require 100% smoke and programs free workplaces, and/or restaurants, and/or bars104. • Authorizing the FDA to regulate all tobacco products These include: • Reducing tobacco advertising, promotion, • California • Vermont and marketing • Delaware • Utah • Ensuring strong youth access laws and enforcing • New York • Idaho those laws • Connecticut • Maryland • Regulating the manufacturing of fire safe cigarettes • Maine • Hawaii • Massachusetts • North Dakota Protecting citizens and workers from exposure • Rhode Island • Washington to secondhand smoke • Florida • Montana Many Hoosiers spend a significant part of their day at the workplace. The 2004 Indiana Adult Tobacco Survey indicates In addition, several countries have smoke free public that 72% of adults’ indoor work policy prohibits smoking places some of these include Ireland; Norway; Sweden; in all work areas. New Zealand; Malta; Uganda; Bhutan; Italy; Quebec, Canada; and Scotland. Similarly, of the largest employers from each county in Indiana, 87% have completely smoke free indoor work areas. It is estimated that 36% of Americans are protected in some This is an increase from 2003 when 68% had completely way from secondhand smoke through a policy. In Indiana, smoke free indoor work areas. However, very few (13%) of approximately 20% of Hoosiers will be protected against these large employers have smoke free grounds and buildings. secondhand smoke by such policies. Prior to the policy passed There has been no change on this since 2003101. Although in Indianapolis-Marion County, only 6% of Hoosiers were there has been a relative increase in the proportion of total protected. Communities with smoke free restrictions include indoor workforce working under a smoke-free policy in Bloomington, Fort Wayne, and Monroe County. In March 2006, Indiana, compared to the rest of the U.S., Midwestern Indianapolis will have smoking restrictions. states overall are trailing the rest of the country in their worksite policies102.
101 2004-2005 ITPC community-based partnership applications-top five employers by 103 2006-2007 ITPC partnership applications-top five/ten employers collected in May number of employees per county collected in October 2003; 2006-2007 ITPC partnership 2005. Only 29 counties, representing 95% of the population are eligible for these applications-top five/ten employers collected in May 2005. 2005 data does not grants therefore, only 21 counties’ data is described here. include Ohio and Kosciusko counties. 104 Americans for Nonsmoker’s Rights 102 State-specific trends in smoke free workplace policy coverage. The Current Population Survey Tobacco Use Supplement, 1993 to 1999 National Cancer Institute.
38 2004-2005 ANNUAL REPORT
The following briefly describes the ordinances in these communities:
Bloomington The City of Bloomington's Common Council passed Smoking Ordinance A Closer Look 03-06. Effective August 1, 2003, the ordinance bans smoking in public places and places of employment, including restaurants. As of January 1, 2005, bars must also comply with the non-smoking ban. Smoking Ordinance 03-06 is designed to protect the public health and welfare Central Indiana’s Major Hospitals of the community from health hazards induced by breathing secondhand To Be Smoke-Free by Year’s End smoke including lung cancer, heart disease and respiratory infections. The major hospitals in Marion, Hendricks, Hancock and Johnson Counties Morgan County joined forces to announce that their hospitals will implement a 100% smoke-free hospital campus policy by the end of 2005. The CEOs said Effective January 1, 2005, Morgan County restaurants are covered by that they believe the smoking issue is important enough to the health a county-wide ordinance. Restaurants have the option to 1) be 100% of the community to make a public, united stand for smoke-free health smoke free; 2) allow smoking in a second room that has its own facilities and campuses. They stressed the need for hospitals to take a air filtration system for heating and cooling and is of equal size or leadership role in the community and act as role models for good health. smaller than the non-smoking area; or 3) to not allow children inside • Hancock County Memorial Hospital and all affiliated facilities the facility. smoke-free since January 1, 2004.
Fort Wayne • Community Health Network’s campuses smoke free since June. The Indiana Heart Hospital tobacco free since February 2002. Through a Fort Wayne city ordinance made effective January 1999, all enclosed public places, including restaurants, within the city limits of • Clarian Health partners smoke free since July 1, 2005. Fort Wayne, are smokefree. Smoking is allowed in restaurants having a separate and fully enclosed dining area for those choosing to smoke. • Johnson Memorial Hospital smoke free beginning July 1, 2005. Private clubs, taverns and bowling alleys are exempt from the ordinance. • Wishard Health will go smoke-free on July 1, 2005.
At this time, the ordinance does not extend beyond the city limits to • All three St. Francis campuses are smoke-free since July 1, 2005. other restaurants in Allen County. For additional details, contact Smoke • Hendricks Regional Health will be implementing a role-out date in Free Allen County or click on the link to read the ordinance in full. coordination with the Great American Smoke-Out in November 2005. http://www.ci.ft-wayne.in.us/citycode/chap95.htm#95.62 • Veterans Affairs Medical Center is currently a smoke-free facility and is working on an implementation plan to become a smoke-free campus.
• St. Vincent Randolph Hospital (Winchester) is already a smoke-free campus. Several other St. Vincent hospitals, including St. Vincent Indianapolis and St. Vincent Carmel, are exploring a tobacco-free campus.
39 Looking Forward
y Several Indiana cities and counties have passed smoke- Recipients of 2005 Rural Indiana Smoke-Free c i free policies for government buildings and facilities, and Environment (R.I.S.E.) awards are: l o in many communities hospitals and health care facilities Award Recipient City/Town County P are leading the charge and setting the example in their Clarian West Medical Center Avon Hendricks community. In 2004, 10 facilities went smoke free on Hancock Memorial Hospital Greenfield Hancock and Health Services hospital grounds, but this number has doubled for 2005 Logansport Memorial Hospital Logansport Cass with 25 hospital and major health centers implementing Rush Memorial Hospital Rushville Rush tobacco free campuses in 2005. St. Vincent Randolph Hospital Winchester Randolph
Figure 3: Counties with a smoke free hospital or health Union Hospital Terre Haute Vigo care facility 2004-2005. West Central Community Hospital Clinton Vermillion
Local tobacco control coalitions across Indiana are working
2004 to increase youth protections from secondhand smoke.
2005 While federal law prohibits smoking within school buildings, local jurisdictions have enacted policies that are more 2004 and 2005 restrictive and encompass all school grounds. Coalitions are working with school districts to ensure tobacco use is not allowed on school campuses anywhere. Progress is being made with schools throughout Indiana as 24 counties have all tobacco free schools districts providing 45% of our youth with protection from secondhand smoke at school. Another 36 counties have a portion of their school districts with tobacco free campuses. However, the remaining 33 counties In June 2005, ITPC collaborated with Indiana Rural Health do not have a tobacco free campus at any of the school Association (IRHA) to honor healthcare facilities that provide districts in their counties. More on how Indiana youth are smoke-free locations for Indiana’s rural populations through leading the initiative to get tobacco off of their campuses the first annual Rural Indiana Smoke-Free Environment in the Community Program section. (R.I.S.E.) awards. Seven healthcare providers received this special recognition as part of the IRHA annual meeting. Seven out of ten Hoosier adults support smoke free workplaces, including restaurants and bars. Most adults The new honor is intended to recognize smoke-free health are very (47%) or somewhat (32%) concerned about the care facilities serving all rural areas of the state. The award health effects of secondhand smoke. Similarly, many signifies a commitment from ownership, management and expressed knowledge that exposure to secondhand staff to take the necessary steps to lead Hoosiers toward smoke causes various health problems, as illustrated in a healthier Indiana. In order to qualify for the award, the Chart 32: Percent of Adults That Say Secondhand applying facility must show evidence of a 100 percent Smoke Causes…. smoke-free policy in all buildings, on all grounds and in all organization-operated vehicles. The facility also submitted an explanation of the process through which the policy was achieved and documentation of signage or other forms of enforcement. The R.I.S.E awards will be presented annually to all newly qualifying facilities in Indiana continuing in 2006. 2004-2005 ANNUAL REPORT
Chart 32: Percent of Adults That Say Secondhand Attitudes toward smoke free policies and exposure to Smoke Causes… secondhand smoke varies among race/ethnic, and age groups,
100% 106 95% and gender . • A greater proportion of African Americans (76%) and 81% 80% 77% Latinos (75%) say that secondhand smoke exposure is a serious health hazard compared to Whites (60%).
60% 56% • Latinos are most likely to agree that secondhand smoke is a cause of health problems.
40% • African American nonsmokers are more likely than Whites to be exposed to secondhand smoke in homes and cars. 20% • Whites (66%) and Latinos (77%) are more likely to have smoke free homes than African Americans (48%). 0% Respiratory Problems Lung Cancer Heart Disease SIDS in Children • Of adults working indoors, all race/ethnic groups are equally protected by worksite policies with approximately A majority of adults say that secondhand smoke causes various seven out of ten workers protected. health problems. • 18-24 year old nonsmokers are the most exposed Six of ten adults think exposure to secondhand smoke is to secondhand smoke in homes compared to other age groups. a serious health hazard. Nearly 90% feel that workers of • 18-24 year olds working indoors are the least various occupations who are exposed to smoke in the workplace protected workers, although not statistically are experiencing a serious to moderate health hazard as shown different from other age groups. in Chart 33: Health Hazard Beliefs about Secondhand Smoke. • Women (80%) indoor workers are more likely to be covered by a smoke free worksite policy than men Chart 33: Health Hazard Beliefs about Secondhand Smoke indoor workers (64%).
For workers where other people smoke 100% Moderate Health Hazard Funding for Comprehensive Serious Health Hazard
17.6% Tobacco Control Programs 80% 24.6% 24.8% 27.6% Adequate funding is necessary to carry out a comprehensive tobacco control program and to improve on Hoosiers’ health 60% that is impacted by the State’s alarming tobacco use rates.
40% 74.2% 65.4% 65.9% 60.0% In 2002, the American Lung Association, American Cancer
20% Society, American Heart Association and Campaign for Tobacco-Free Kids praised Indiana’s leaders for allocating
0% $32.5 million a year of the state’s tobacco settlement For workers Waiters and waitresses Bartenders, waiters and How hazardous is in an office who work in restaurants waitresses who work secondhand smoke in a bar exposure? money to fund a tobacco prevention program. At the time, Beliefs of tobacco’s harmful effects impact a smoker’s Indiana ranked sixth in the nation in funding tobacco intention to quit smoking. Those smokers who are aware prevention and was spending 93 percent of the minimum that smoke from other people’s cigarettes is very harmful amount of $34.8 million that the U.S. Centers for Disease were more than twice as likely to intend to quit smoking or Control and Prevention (CDC) has recommended the state attempt to quit, and more than three times as likely to quit spend on tobacco prevention. Indiana was one of only four smoking successfully, compared to smokers without states – along with Maine, Maryland and New Jersey – praised in the report. this knowledge105.
105 2004 Indiana Adult Tobacco Survey 106 2004 Indiana Adult Tobacco Survey Looking Forward
y However, a strong funding level for Indiana’s comprehensive The programmatic impact of the budget reductions has been c i tobacco control program was reduced by approximately delayed somewhat due to carryover dollars that were used l o 70 percent for the State Fiscal Years 2004 and 2005. in SFY 2005. The local community-based and minority-based P The appropriation was cut to $10.8 million annually, coalitions had minimal impact in SFY 2005, however, the resulting in the ITPC Executive Board placing budget cuts lower funding levels will be felt more in SFY 2006-2007. in components of the program. The program reach was limited most with the supporting statewide partnerships. In addition, ITPC is analyzing the • ITPC’s commitment to its community programs remained impact of the public education campaign and if lower levels strong, building on great progress. However, changes were of exposure will impact Hoosiers’ attitudes and beliefs on made in the community-based partnerships and minority- tobacco issues. Funding for this component was cut by 50%. based partnerships with a reduction in the grant period The awareness of the statewide campaigns has diminished from 24 months to 18 months. The scope of the grants was somewhat and the factors contributing to this are also narrowed in focus on limited interventions rather than a being reviewed. comprehensive plan. Funds for local community grants were reduced by 30 percent. Statewide grants that Increasing Tobacco Taxes supported these local efforts were also reduced. Health economists have shown that increasing the price of cigarettes causes a reduction in smoking. Numerous U.S. • While progress has been made in changing attitudes of Surgeon General reports have concluded that an optimal level smokers and nonsmokers, youth and adults, tobacco use in of excise taxation on tobacco products will reduce smoking Indiana is still highly acceptable due to current social norms rates, tobacco consumption and the long-term health related to tobacco use. A statewide public education campaign consequences of tobacco use. continued so that visibility of tobacco issues stayed in front of Hoosiers, but funding was reduced by 50 percent. Economic research studies currently conclude that every 10% increase in the real price of cigarettes reduces adult • There were also reductions in the amount to the Alcohol and smoking by about 4% and teen smoking by roughly 7%107. Tobacco Commission (ATC) to enforce sales of tobacco to youth. There is strong evidence that youth are more responsive to price increases than adults. Youth are up to three times more • Some cost cutting measures were put into place while sensitive to price than adults while younger adults (18-24) still maintaining integrity to evaluation results, with a are about twice as sensitive to price than older adults108. reduction of 50 percent in the evaluation budget. Studies conclude that the greatest impact of price increases is in preventing the transition from youth • The agency administration and management costs were experimental smoking to regular (daily) smoking. reduced by 27 percent. With the new budget, staff has taken Considering 90% of smokers start as teenagers, a group on significant additional work and assumed additional highly sensitive to price, higher taxes can sharply reduce responsibilities relative to providing training efforts youth smoking. A reduction in youth smoking will influence statewide. ITPC has not filled 8 vacant positions that a long-term decrease in adult smoking. exist from the original staffing structure.
107 Tauras et al, “Effects of Price and Access Laws on Teenage Smoking Initiation: 108 Chaloupka F. and Pacula R. “An examination of gender and race differences in A National Longitudinal Analysis.” youth smoking responsiveness to price and tobacco control policies,” National Bureau of Economic Research, 1998.
42 2004-2005 ANNUAL REPORT
Table 9: State Cigarette Excise Taxes Tobacco taxes still remain one of the strongest interventions CENTS PER PACK to decrease smoking. The 2002 tax increase has had an Overall All States’ Average: 89.8 cents Rank State Tax Rank State Tax impact on decreasing cigarette consumption and increased 1 Rhode Island 246.0 27 Wisconsin 77.0 revenue, however that impact is diminishing. If Indiana 2 Washington 202.5 28 Utah 69.5 3 Maine 200.0 29 Nebraska 64.0 were to increase its cigarette tax by 50 cents, we could expect 3 Michigan 200.0 30 Wyoming 60.0 5 Montana 170.0 31 Arkansas 59.0 to see: 6 Alaska 160.0 32 Idaho 57.0 7 Connecticut 151.0 33 Indiana 55.5 • Fewer Hoosiers smoking- 25,500 adults 7 Massachusetts 151.0 34 Delaware 55.0 9 New York 150.0 34 West Virginia 55.0 and 52,800 youth 10 Hawaii 140.0 36 South Dakota 53.0 • Thousands of Hoosier youth saved from an early 11 Pennsylvania 135.0 37 Minnesota 48.0 12 Ohio 125.0 38 North Dakota 44.0 death by not smoking- 16,800 youth 13 Vermont 119.0 39 Alabama 42.5 14 Arizona 118.0 40 Texas 41.0 • State revenue increases $220 million 14 Oregon 118.0 41 Georgia 37.0 16 Oklahoma 103.0 42 Iowa 36.0 • Long term health savings of more than $1 billion 17 District of Columbia 100.0 42 Louisiana 36.0 17 Maryland 100.0 44 Florida 33.9 19 Illinois 98.0 45 Kentucky 30.0 20 New Mexico 91.0 45 Virginia 30.0 Providing Cessation Coverage 21 California 87.0 47 Tennessee 20.0 through Health Plans and Programs 22 Colorado 84.0 48 Mississippi 18.0 23 Nevada 80.0 49 Missouri 17.0 The high cost and lack of access to cessation treatment is 23 New Hampshire 80.0 50 South Carolina 7.0 23 New Jersey 80.0 51 North Carolina 5.0 one of the primary obstacles to reducing smoking in the 26 Kansas 79.0 United States. Improved access to smoking cessation services On July 1, 2002, Indiana tripled its tax to 55.5 cents and at is one of the keys to accelerating the decline in adult smoking the time brought Indiana closer to other states. The current rates. More than 80% of Hoosier smokers want to quit, all-state average is 89.8 cents. Indiana ranks 33rd highest however, few will succeed without help110. Treating tobacco among states based on cigarette taxes. The national goal use doubles the rate of those who successfully quit111. for state cigarette taxes is a minimum of $1.00 per pack109. In 2005, 10 states raised their cigarette taxes and 8 Smoking cessation treatments that include counseling and states increased them in 2004. Indiana’s border states medications, or a combination of both are recommended. have also seen tax increases. Kentucky increased its tax from Health insurance coverage of medication and counseling 3 cents to 30 cents and Ohio more than doubled its tax from increase the use of effective treatments112. Providing 55 cents to $1.25 per pack. In 2004, Michigan increased its cessation services to employees through onsite employee tax from 75 cents to $2.00. assistance programs or through health plans can save businesses money. Indiana covers the cost of cessation Figure 4: Surrounding States Tobacco Taxes therapy and counseling as a part of the state’s Medicaid benefits; however, it is not clear if Medicaid patients are aware of this benefit and if they are accessing the benefit.
109 National Campaign for Tobacco Free Kids Fact Sheet http://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf 110 2004 Indiana Adult Tobacco Survey; Centers for Disease Control and Prevention. “Cigarette smoking among adults-United States, 1991-2001. MMWR 2002; 51 (29): 642. 111 Fiore MC et al. Treating Tobacco Use Dependence: Clinical Practice Guidelines. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; 2000. 112 Hopkins DP et al. Task Force on Community Preventive Services. American Journal of Indiana’s tax is lower than all of its border states except Kentucky, Preventive Medicine 2001; 20 (2 suppl): 16-66. all border states increased taxes in 2004 and 2005.
43 Looking Forward
y We do not know what percentage of Indiana’s employers agency websites, regular contact with all agency human c i provides cessation therapy and counseling as a part of their resource directors and ISPD events throughout the year to l o employee benefit package, although that number seems promote new and existing resources to help people quit P to be inadequate. Of Indiana’s large employers approximately smoking. The State is Indiana’s second largest employer with 36% provide cessation through their worksite while fewer 35,000 employees and over 80,000 lives covered under the offer benefits through employer-provided health plans State’s health plans. By reducing tobacco use and improving (27%)113. This is a nominal increase since 2003. the overall health of state workers, the plan will also work to reduce healthcare costs. Of a sample of Indiana’s large minority-owned employers, only 13 out of 119 employers (11% of the sample) provided In June 2004, M-Plan, one of the State’s health plans, cessation through employer-provided health plans and began offering its web-based smoking cessation program fewer (8 out of 119) offered cessation as a benefit through to all state employees regardless of their health plan a health insurance plan113. membership. This partnership demonstrates how to form business-to-business partnerships from within state In 2004, only 17.6% of Indiana smokers were aware that government similar to what ITPC has advocated and their insurance plan covers cessation services. Twenty-three encouraged on the community level. The overall impact of percent (22.7%) indicate that their coverage does not pay this program has been difficult to measure as numbers on for cessation services. One-third (32.4%) of Indiana adult how many state employees smoke are not readily available. smokers are not aware whether or not their health insurance It is estimated that as many as 25 to 27 percent of the covers cessation assistance114. state’s 36,000 state employees may smoke – if they smoke at levels consistent with other adults in Indiana’s popula- In 2004, more Hoosier smokers reported availability of tion. As an initial goal, M-Plan hoped for a range of 250 smoking cessation help at their work and coverage of to 500 smokers joining the “Breathe” program from the smoking cessation services by the health insurance. It is State of Indiana. In the end, about 30 smokers signed up not clear from these data whether these increases are due for the program during the period of June – December 2004. to more employees offering cessation help, more health insurance policies covering smoking cessation or smokers While this program has not produced impressive numbers, becoming more aware of these resources. Even more partnerships such as these can serve as ways to improve promising 2004 results show that more smokers have tried overall health and bring cost savings to businesses and to use nicotine replacement therapies in order to quit the State. With local coalitions working in Indiana’s 92 smoking than did in 2002. Since the use of nicotine counties, the state agency already has the resources in replacement therapies involves substantial out-of-pocket place to work with any Indiana business looking to encourage costs to smokers, this trend suggests that Hoosier smokers tobacco cessation among its employees. are becoming more committed to quitting. See Economic Impact of Tobacco Use section. Working to Help Employers Reduce Health Care Costs In November 2003, ITPC and the Indiana State Personnel
Department (ISPD) announced its partnership to promote 113 2006-2007 ITPC partnership applications-top five/ten employers collected in May quitting smoking to all state employees. ITPC shared infor- 2005. Only 29 counties, representing 95% of the population are eligible for these mation through a variety of communication tools aimed at grants therefore, only 21 counties’ data is described here. 114 2004 Indiana Adult Tobacco Survey state workers, such as state personnel newsletter, state
44 2004-2005 ANNUAL REPORT
Authorizing the FDA to These bills will protect kids and save lives by granting the Regulate All Tobacco Products FDA authority to115: Since the U.S. Surgeon General, Luther Terry, released the • Restrict tobacco advertising and promotions, especially to children first Surgeon General Report (SGR) linking cigarettes to lung • Stop illegal sales of tobacco products to children cancer in 1964, government actions were taken to protect • Require disclosure of the contents of tobacco products the public through warning labels on packs of cigarettes, and tobacco industry research about the health effects advertising and marketing restrictions, and local and state of their products policies protecting people from secondhand smoke. However • Require changes in tobacco products, such as the there has been no policy to regulate the product itself. No reduction or elimination of harmful chemicals, to make federal government agency has the authority to regulate them less harmful or less addictive tobacco products. • Prohibit health claims about so-called "reduced risk" products that are not scientifically proven or that would discourage current tobacco users from quitting Although on March 17, 2005, U.S. Senators Mike DeWine (R-OH) or encourage new users to start and Edward Kennedy (D-MA) and U.S. Representatives Tom • Require larger and more informative health warnings Davis (R-VA) and Henry Waxman (D-CA) introduced identical, on tobacco products bipartisan bills in Congress to grant the U.S. Food and Drug Administration (FDA) authority to regulate tobacco products. This legislation would bring changes to every aspect of the Public health organizations, including the American Cancer manufacturing, marketing, labeling, distribution and sale Society, American Heart Association, American Lung of tobacco products. These measures can significantly Association and Campaign for Tobacco-Free Kids, worked reduce the number of people who start smoking, increase closely with these Members of Congress to draft this legisla- the number of smokers who quit, and reduce harm to those tion and have enthusiastically endorsed it. These groups who are unable to quit. Granting FDA regulation of tobacco feel these are the strongest, most bipartisan and most products is intended as a complement, for other tobacco comprehensive bills ever introduced to grant the FDA prevention, cessation and control measures. authority over tobacco products. The need for regulation of tobacco products can be demon- strated here in Indiana. The introduction of new tobacco products in the market has had a direct impact on Indiana in recent years. In 2001, Brown & Williamson Tobacco Company (B&W) used Indianapolis and surrounding cen- tral Indiana as a test market for AdvanceTM. In 2002, Ariva® (B&W) arrived in stores, followed by Quest® (Vector Tobacco) in 2003, as Indiana
115 http://www.tobaccofreekids.org/reports/fda/summary.shtml
45 Looking Forward
y was one of seven states that tested this new line of products in Indiana. Tobacco advertising has nearly doubled c i products. Previous research shows that smokers have in Indiana since 1998, after the tobacco companies agreed l o misconceptions about the health risks of so-called “light” to curtail some aspects of their marketing as part of the P and “ultralight” cigarettes116. Successful marketing of the legal settlement with the states. tobacco companies fosters these beliefs. Scientific studies indicate that these products have not resulted in different The amount spent on tobacco prevention in all rates of tobacco-related deaths and diseases compared to states in fiscal year 2005 is only 0.004% ($538 million) those who smoke “regular” cigarettes117. Smoking cigarettes of what the tobacco industry spends on marketing and that have a lower yield of tar does not substantially reduce advertising. In fact, the tobacco companies’ spending the risk for lung cancer118. Tobacco companies continue for marketing in a single day in the U.S. ($41 million) these deceptive marketing practices as they introduce is four times Indiana’s current annual budget for new potentially reduced exposure products (PREPs) tobacco prevention. continuing to appeal to the health concerns of smokers. The bulk of the enormous increase in advertising Data from the 2004 Indiana Adult Tobacco Survey (IATS), and promotional spending by the tobacco industry is in illustrate that these misconceptions are present among the area of promotional allowances and retail value added. Hoosier smokers and the need for FDA authority to regulate This money is being spent for retail promotions and prod- all tobacco products. uct placements that heavily impact children and teenagers. • Twenty percent (20%) of all Hoosiers have heard of Two-for-one offers and other enticements are particularly Quest with 20% of those who have heard of it have effective with teenagers and children who have less dis- tried it; nearly 43% of smokers have heard of Quest. posable income than adults and are more likely to be • Twelve percent (12%) of all Hoosiers have heard of influenced by promotional items in convenience stores. Advance with 12% of those who have heard of it have tried it. Approximately 18% of smokers are Seventy-one percent (or $10.8 billion) of cigarette mar- aware of Advance. keting was spent on price discounts paid to cigarette • One-fifth (18%) of all Hoosiers agreed that smoking retailers and an additional $1.3 billion on coupons and free these new kinds of tobacco products is safer than cigarette promotions. smoking regular cigarettes.
Reducing Tobacco Advertising, The tobacco industry continues to push the envelope with Promotion, and Marketing its marketing tactics. The latest of these tactics comes from Brown & Williamson Tobacco Company (B&W) and The Federal Trade Commission’s (FTC) most recent annual report on cigarette sales and advertising for 2003 shows 116 Kozlowski LT, Pillitteri JS. Beliefs about “Light” and “Ultra Light” cigarette: an that cigarette manufacturers spent a record $15.15 billion overview of early efforts and published research. Tobacco Control 2001; 10 on advertising and promotion for that year, an increase of (suppl I): i12-16. 117 Thun MS, Burns DM. Health impact of “reduced yield” cigarettes: a critical 21.5 percent from the $12.5 billion spent in 2002. Over assessment of the epidemiological evidence. Tobacco Control 2001; 10 $475 million was spent in Indiana. That is the largest (suppl I): i4-11. amount reported since the FTC began tracking cigarette 118 U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human sales and advertising in 1970. The tobacco industry spends Services, Centers for Disease Control and Prevention, National Center for Chronic $1.3 million a day to advertise and promote its deadly Disease Prevention and Health Promotion, Office on Smoking and Health, 2004.
46 2004-2005 ANNUAL REPORT
the promotion of their Kool cigarettes. Kool is a key brand Market research shows that African Americans prefer menthol for Brown & Williamson that seeks African American cigarettes. Indiana data support this finding. More than customers, since menthol cigarettes have historically been half (63%) of African American high school smokers in popular among African Americans. A past B&W Indiana smoke menthol cigarettes121. Research also shows promotion used a hip-hop theme to promote Kool cigarettes, that youth and African Americans like flavored cigarettes. including special packs called Kool Mixx packs. These In Indiana, approximately four out of ten youth smokers packs featured images of juvenile-oriented disc jockeys, smoke menthols121. This preference for flavored cigarettes hip-hop artists and dancers that display a “mural” as the coupled with the marketing through the hip hop culture, two packs are placed next to each other. These special clearly indicates B&W is focusing on a target market aimed packs sold for the same price as other Kool products. at youth. Buyers of two packs received a free "stick radio," a tiny radio with ear plugs. This Kool Mixx pack promotion was Kool has also introduced a series of flavored cigarettes in paired with a national disc-jockey competition, with the special packs, marketed under the name "Smooth Fusions". slogan "Soundtrack to the Streets." This competition The flavors include “Midnight Berry”, “Caribbean Chill”, was scheduled to tour 13 cities and includes distribution “Mintrigue”, and “Mocha Taboo”. This use of these flavors of a CD. The pairing of these deadly tobacco products with is further evidence the company is targeting youths, the hip-hop culture is clearly a way to promote smoking to especially black youth. youth. It is widely known that young people listen to this type of music and can be enticed through such music products R.J. Reynolds - the same company that once marketed as CDs and radios. This marketing violates the MSA in cigarettes to kids with a cartoon character, Joe Camel - that it is clearly using tactics and marketing techniques has launched a series of flavored cigarettes, including a to reach youth through the sponsorship of this DJ competition pineapple and coconut-flavored cigarette called "Kauai and giveaways. In May 2004, Indiana’s Attorney General Kolada" and a citrus-flavored cigarette called "Twista Lime." joined with 30 other state’s attorneys general signing In November 2004, they introduced Camel "Winter Blends" onto a letter from the New York Attorney General planning in flavors including "Winter Warm Toffee" and "Winter to file suit against B&W for violating the MSA. B&W Mocha Mint". Established smokers are unlikely to give up stopped the promotion. their favorite brands for these new cigarettes, but kids will be tempted to give them a try and many will get hooked. In store displays, similar to the ones used in this promotion, target youth. Research shows that 75% of teens visit a Finally, the U.S. Smokeless Tobacco Company has gotten in convenience store at least once a week119. Indiana current the game with marketing spit tobacco with flavors (55%) and frequent (100%) middle school youth smokers including berry blend, mint, wintergreen, apple blend, were more likely to purchase or receive items with a tobacco vanilla and cherry. Bills introduced in Congress that would company logo than youth who never smoked (17%). Similarly give the U.S. Food and Drug Administration the power to for high school youth, current (44%) and frequent (48%) regulate tobacco products also would ban the sale of smokers were more likely to purchase or receive items with candy-flavored cigarettes. Bills to ban sales of flavored a tobacco company logo than youth who never smoked cigarettes also have been introduced in a few states. (10%)120. Youth who are more likely to wear such items 119 Wakefield, M, et al., “Changes at the point of purchase for tobacco following the encourage smoking behavior and a positive attitude toward 1999 tobacco billboard advertising ban.” University of Illinois at Chicago. Research tobacco companies. Paper Series, No. 4, July 2000. 120 2004 Indiana Youth Tobacco Survey.
47 Looking Forward
y Ensuring Strong Youth Access Fire Safe Cigarettes c i l Laws and Enforcing Those Laws Cigarette caused fires were responsible for more than 500 o
P Indiana code (I.C. 35-46-1-10) prohibits selling tobacco deaths and 1,330 injuries in the U.S. in 2002. A majority products to juveniles. While early data indicates that of the victims are children. In addition to lost lives these over the last year, compliance to the law has improved, fires caused $371 million in residential property damage122. the methodology for penalties is considerably weaker than other states. States that have seen the greatest improvement While it is not possible to ensure every smoker uses care in enforcement of youth access laws require that a license when handling an intentionally burned product, it is possible be obtained to sell tobacco products and that progressive to alter the way that product is manufactured to make penalties for retailers who sell tobacco to juveniles includes cigarette-caused fires far less likely. In June 2004, New York eventual revocation of license. In 2003, I.C. 7.1-3-18.5 becomes the first state to require new “fire-safe” cigarettes was established, requiring all tobacco retailers to have to be sold. The law requires tobacco manufacturers to a certificate to sell tobacco products. Selling without a produce cigarettes meeting new fire safety standards. certificate is a class A infraction (up to a $10,000 fine). These standards came out of a technical study group This law also allows the Alcohol Tobacco Commission (ATC) mandated by the federal Safe Cigarette Act of 1984 and to handle all tobacco fines. Civil penalties collected for were deemed “technologically and economically feasible.” tobacco violations are deposited in the youth tobacco This law is meant to cut down on the number of smoking- education and enforcement fund. It also repeals prohibition related fires. Unfortunately, Hoosiers are not protected by on certain tobacco billboard advertisements and repeals a a similar regulation. provision concerning advertising of tobacco products that is preempted by federal law. The new cigarettes are wrapped in special ultra-thin band- ed paper that essentially inhibits burning. It is important Another law, I.C. 24-3-5 requires a merchant who sells to note that the lower-ignition paper does nothing to cur- cigarettes to a person in Indiana through direct mail or tail the toxicity of cigarettes or reduce the health effects the Internet to: (1) ensure that the customer is at least 18 of smoking. Major cigarette makers have been urged to years of age; and (2) pay the state cigarette tax or provide use New York’s standards to produce and distribute fire- notice that the customer is responsible for the unpaid safe cigarettes to other states. Vermont recently adopt- state taxes on the cigarettes. It also establishes penalties ed the same law. for violations. This legislation also requires a merchant to furnish the Indiana Department of Revenue the names, addresses and date of birth of those who purchase cigarettes through direct mail or Internet in order to collect excise taxes and use taxes. This also include the sale of all tobacco products via the Internet, direct mail, and telephone.
Local jurisdictions in Indiana are preempted from passing 122 laws stronger than Indiana’s state youth access laws. As a Residential Smoking Fires and Casualties, National Fire Data Center, part of the Federal Emergency Management Agency’s (FEMA) U.S. Fire Administration. result, continued improvement in the state law and enforcement are the only avenues to improve this policy area.
48 2004-2005 ANNUAL REPORT
A Closer Look
Frank Shelton, executive director of IRHA, awarded the first annual Rural Indiana Smoke-Free Environment (R.I.S.E.) awards. Seven healthcare providers are receiving this special recognition as part of the Indiana Rural Health Association (IRHA) annual meeting. The new honor is a collaboration of IRHA and Indiana Tobacco Prevention and Cessation (ITPC). Intended to recognize smoke-free health care facilities serving all rural areas of the state, the award signifies a commitment from ownership, management and staff to take the necessary steps to lead Hoosiers toward a healthier Indiana.
“Many healthcare providers serving the rural populations of our state continue to be leaders in the arena of public health. We hope these awards will recognize the progress being made in rural areas on important health issues like tobacco use.” – Frank Shelton Executive Director Indiana Rural Health Association
49 Looking Forward
s Master Settlement Account Balance n o i t Indiana's Tobacco Settlement Appropriations and Est. of Remaining Balances a i r As of June 30, 2005 p o Fiscal Year = July 1 - June 30 1999-2000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 r p In Millions p
A Tobacco Use Prevention and $35.0 $5.0 $25.0 $10.8 $10.8 $10.9 $10.9 t Cessation Trust Fund 1 n Retained in the MSA Fund ($10.0) e Local Health Departments $3.0 x $3.0 $3.0 $3.0 $3.0 $3.0 m
e Minority Epidemiology x x x $0.5 $0.5 $0.5 $0.5 l t t State Department of Health x x x $25.7 $25.7 $27.3 $27.3 e
S Cancer Registry x x x $0.2 $0.2 $0.3 $0.3 o Minority Health Initiative x x x $2.1 $2.1 $2.1 $2.1 c
c Sickle Cell x x x $0.2 $0.2 $0.2 $0.2 a
b Aid to County Tuberculosis x x x $0.1 $0.1 $0.1 $0.1 Hospitals o T AIDS Education x x x $0.7 $0.7 $0.7 $0.7 s ’ HIV/AIDS Services x x x $2.3 $2.3 $2.3 $2.3 a n Test for Drug Afflicted Babies x x x $0.1 $0.1 $0.1 $0.1 a i
d State Chronic Diseases x x x $0.5 $0.5 $0.5 $0.5 n
I Women, Infants, and x x x $0.2 $0.2 $0.2 $0.2 Children Supplement Maternal Child Health Supplement x x x $0.2 $0.2 $0.2 $0.2
Breast Cancer Education x x x $0.1 $0.1 $0.1 $0.1 and Diagnosis
Prostate Cancer Education x x x $0.1 $0.1 $0.1 $0.1 and Diagnosis
Tobacco Health Programs x x x $0.0 $0.0 $2.5 $2.5
Prenatal Substance Abuse x x x $0.2 $0.2 $0.2 $0.2 Use and Prevention
Rural Development Admin Fund x x x $2.4 $2.4 $2.4 $2.4
Rural Development Council Fund x x x $1.2 $1.2 $1.2 $1.2 Value Added Research Fund x x x $0.6 $0.6 $0.6 $0.6 Technology Development x x x $4.5 $4.5 $4.5 $4.5 Grant Fund 21st Century Research x x x $37.5 $37.5 $37.5 $37.5 and Technology Commission on Hispanic x x x $0.1 $0.1 $0.1 $0.1 and Latino Affairs Prescription Drug Account $20.0 $10.0 $20.0 $8.0 $8.0 $8.0 $8.0 5 Transferred to General Fund ($5.3) ($14.7) Indiana Health Care Account 18.8 $23.1 $33.6 $38.2 x x x x & CHIP Match ($8.3) ($15.6) (CHIP Match only, 1999-2000) 5 Transferred to General Fund
CHIP Assistance - x x x $23.8 $26.2 $29.9 $33.8 previously included with IN Health Care Account Local Health Maintenance Fund $1.5 $1.3 $1.4 $3.9 $3.9 $3.9 $3.9
Continued...
50 2004-2005 ANNUAL REPORT
Master Settlement Account Balance Continued...
Indiana's Tobacco Settlement Appropriations and Est. of Remaining Balances As of June 30, 2005
Fiscal Year = July 1 - June 30 1999-2000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007
In Millions Farmers & Rural Community x $5.0 $5.0 $0.0 $0.0 $0.0 $0.0 Impact Account ($4.66) ($0.04) 5 Transferred to General Fund Community Health Centers $10.0 x $1.0 $0.0 $0.0 $0.0 $0.0 Capital Costs ($1.0) 5 Transferred to General Fund Community Health Centers $15.0 $15.0 $15.0 $15.0 $15.0 $15.0 $15.0 Operations Cost ($0.4) 5 Transferred to General Fund Regional Health Care x $14.0 $14.0 $0.0 $2.9 $8.2 $10.6 Construction Account ($10.0) 5 Transferred to General Fund Developmentally Disabled x $13.4 $30.3 $21.3 $21.3 $24.4 $24.4 Client/Residential Services
FSSA - Division of Disability x $3.0 $3.0 $0.0 $0.0 $0.0 $0.0 and Aging
DDARS Salaries of Direct x x x $3.0 $3.0 $3.0 $3.0 Care Workers
Community Mental Health Centers x x x x x $2.0 $2.0 Independent Living x x x x x $1.0 $1.0 Transitional Services Attorney General x x x x x $0.3 $0.3
Transfers to General Fund FY03 $30.3
Total Appropriations $18.8 $107.6 $100.3 $145.9 $168.3 $173.6 $193.1 $199.4
Beginning Balance 7/1 $151.0 $191.5 $242.9 $199.9 $185.2 $150.0 $87.0
Transfers Out & Appropriations -$18.8 -$94.0 -$101.4 -$191.2 -$144.7 -$165.32 -$193.16 -$199.46
Receipts & Interest $169.8 $134.5 $152.8 $148.2 $130.0 $130.13 $130.17 $133.47
Ending Balance 6/30 $151.0 $191.5 $242.9 $199.9 $185.2 $150.04 $87.0 $21.0
References
1. Retained in the MSA Fund by the State Budget Agency because it was determined the MSA Fund was over appropriated and in violation of the 60% spending cap.
2. $168.3 and $173.6 represents appropriations listed in House Enrolled Act 1001-2003. Transfers Out & Appropriations for Fiscal Years 2000-2003 are actual transfers out of the fund as listed in the Auditor of State's accounting system instead of appropriations listed in HEA 1001-2003.
3. Further analysis of the Receipts and Interest deposited into the MSA fund resulted in the need to adjust past revenues and ending balances to reflect actual amounts posted to the Auditor of State's records.
4. Projected ending Balance includes settlement receipts and interest earned in fiscal year 2005.
5. Transfers to General Fund ordered by State Board of Finance. A total of $60 million dollars for fiscal years 2002 and 2003 biennium was transferred from various tobacco funded programs into the General Fund from the original appropriations by the Legislature.
6. $193.1 and $199.4 represents appropriations listed in House Enrolled Act 1001-2005 for fiscal year 2006 and fiscal year 2007.
7. $130.1 and $133.4 represents an estimate of receipts to be received and interest to be earned in fiscal year 2006 and fiscal year 2007.
51 Looking Forward
s Indiana’s Tobacco Settlement Appropriations n o i t a i r Tobacco Master Settlement Agreement Account p o
r As of June 30, 2005 p p A t n e m e l
t Total Settlement Receipts $851,787,106.00 t e S Total Interest Earnings (since inception) $13,757,528.00 o c c a Total Revenue $865,544,634.00 b o T
s Less Transfers Out $715,485,682.00 ’ a n a i Total Expenses $715,485,682.00 d n I Account Balance $150,058,952.00
Pursuant to IC 4-12-1-14.3 all payments made by the tobacco industry to the State of Indiana in accordance with the Master Settlement Agreement are deposited in the Indiana Tobacco Master Settlement Agreement fund. Money may be expended, transferred, or distributed from the fund if authorized by law.
52 2004-2005 ANNUAL REPORT
Indiana Tobacco Prevention and Cessation Agency Organizational Chart
BOARD OF DIRECTORS
Executive Director Executive Asst.
Deputy Director Admin. Asst. Admin. Asst.
Director of Contract Senior Director of Director of Chief Financial Media/ Administration and System Community Program Officer Communications Human Resources Analyst Programs Evaluation
Accountant Contract Admin. Trainer/ Program Minority Regional Regional Regional Regional Statewide Research Program Program Program Program Program Program Director Director Director Director Director Director Director
ITPC Staff Karla S. Sneegas ...... Executive Director Celesta Bates ...... Chief Financial Officer Anita Gaillard ...... Director of Community Programs Miranda Spitznagle ...... Director of Program Evaluation Becky Haywood ...... Executive Administrative Assistant Jack Arnett ...... Regional Program Director- Northern Indiana Karen O’Brien ...... Regional Program Director- Southwestern Indiana Dan Morgan ...... Regional Program Director- Southeastern Indiana Julia Eminger ...... Regional Program Director- Central Indiana Craig Wesley ...... Regional Program Director- Minority Programs Kristen Kearns ...... Contracts Administrator
53 Looking Forward
d Executive Board Structure r a The Tobacco Use Prevention and Cessation Executive Board (Tobacco Board) o
B was established by Indiana Code 4-12-4-4. This stipulates the following Board structure: e v i t Five (5) ex officio members: u c • The Executive Director (nonvoting member) e x • The State Superintendent of Public Instruction E • The Attorney General • The Commissioner of the State Department of Health • The Secretary of the Family and Social Services Administration
Eleven (11) members appointed by the governor who possess: • Knowledge, skill, and experience in smoking reduction and cessation programs, health care services, or preventive health measures
Six (6) members who are appointed by the governor representing the following organizations: • The American Cancer Society • The American Heart Association, Indiana Affiliate • The American Lung Association of Indiana • The Indiana Hospital and Health Association • The Indiana State Medical Association • The Indiana Council of Community Mental Health Centers
The Governor shall designate a member to serve as chairperson. The executive board shall annually elect one of its ex-officio members as vice chairperson. IC 4-12-4-4(i).
54 2004-2005 ANNUAL REPORT
Executive Board Members Karla S. Sneegas ...... Indianapolis David Austin, D.D.S...... Indianapolis Watching the Media Robbie Barkley ...... Indianapolis Victoria Champion, Ph.D...... Indianapolis Tehiji Crenshaw ...... Evansville Indiana Governor Mitch Daniels - INShape Indiana website: Richard Feldman, M.D...... Indianapolis In my inaugural address last January, I talked Patricia Hart ...... Muncie about ways in which each of us can pitch in to Stephen Jay, M.D...... Indianapolis James Jones ...... Cicero "raise a new barn in Indiana" and collectively Robert Keen, Ph.D...... Greenfield facilitate a great comeback for the state we all J. Michael Meyer ...... Borden love. With regard to our health and well-being, Pat Rios ...... Indianapolis I said "Every citizen who stops smoking or loses Steve Simpson, M.D...... Gary a few pounds, or starts managing his chronic Alan Snell, M.D...... South Bend disease with real diligence, is caulking a crack Mohammad Torabi, Ph.D...... Bloomington for the benefit of us all." Nancy Turner ...... Indianapolis
Ex Officio Members Judith Monroe, M.D...... State Health Commissioner Stephen Carter ...... Attorney General Suellen Reed, Ed.D...... State Superintendent of Public Instruction E. Mitch Roob ...... Secretary Family and Social Services Administration
55 Looking Forward
t Advisory Board Structure n e Advisory Board (IC 4-12-4-16) m e t a ITPC has an advisory board that meets quarterly and serves to offer S recommendations to the Executive Board on the following: n o i s s • Development and implementation of the mission and long range plan; i
M • Criteria to be used for the evaluation of grant applications; d
r • Coordination of public and private efforts concerning reduction and prevention of tobacco usage; and a
o • Other matters for which the Executive Board requests recommendations from the advisory board. B e v i t u c
e Advisory Board Members x
E Robert Arnold ...... Wolcotteville
& Arden Christen, D.D.S...... Indianapolis d r
a Diane Clements ...... Evansville o
B Bennett Desadier, M.D...... Indianapolis y r Steve Guthrie ...... Anderson o s i Kiki Luu ...... Fort Wayne v d Heather McCarthy ...... Griffith A Nadine McDowell ...... Gary Steve Montgomery, D.C.P...... Franklin Diana Swanson, N.P...... Bloomington Olga Villa Parra ...... Indianapolis Cecilia Williams ...... Muncie
56 2004-2005 ANNUAL REPORT
Executive Board Vision and Mission Statements Our Vision A Closer Look The Tobacco Use Prevention and Cessation Trust Fund Executive Board’s vision is to significantly improve the health of Hoosiers and to reduce the disease and economic burden that tobacco use places on Hoosiers of all ages. Bloomington Bar goes Smoke Free, Our Mission Honors Employee The Tobacco Use Prevention and Cessation Trust Fund exists to prevent When bars in Bloomington were set to go smoke-free on January 1st, one and reduce the use of all tobacco products in Indiana and to protect out of the twenty-five bars within city limits to be affected by the citizens from exposure to tobacco smoke. The Board coordinates and change-over actually made its facility non-smoking before the actual allocates resources from the Trust Fund to: deadline hit. The Bluebird Café went smoke-free a few days before New • Change the cultural perception and social acceptability of tobacco use in Indiana Year’s in order to recognize the death of a Bluebird employee who • Prevent initiation of tobacco use by Indiana youth suffered from emphysema. • Assist tobacco users in cessation • Assist in reduction and protection from secondhand smoke • Support the enforcement of tobacco laws concerning the sale of tobacco to youth and use of tobacco by youth • Eliminate minority health disparities related to tobacco use and emphasize prevention and reduction of tobacco use by minorities, pregnant women, children, youth and other at-risk populations.
The Board maintains a process-based and outcomes-based evaluation of funded programs and keeps State government officials, policymakers, Rallying Minorities against Tobacco and the general public informed. The Board works with existing partner- in Delaware County ships and may create new ones. The Minority Tobacco-Free Coalition of Delaware County and the Muncie Commission on the Social Status of Black Males teamed up to host the Muncie area’s “Health Summit 2004: Our Future Won’t Go Up in Smoke” at the Motivate Our Minds Educational Center in October. Youth were actively recruited at the event to become part of the local VOICE movement.
Kwei Ronald E. Harris, Midwest membership chair of the National African-American Tobacco Prevention Network and Director of the Bobby E. Wright Behavioral Health Center in Chicago, was keynote speaker. He recently worked with the Attorney General of Illinois to successfully stop the Kool Mixx advertising campaigns targeting African-American youth.
57 Looking Forward
l The Hoosier Model for e d Comprehensive Tobacco Prevention and Cessation o M r The Center for Disease Control and Prevention (CDC) recommends that States establish tobacco control e i s programs that are comprehensive, sustainable, and accountable. Based upon the evidence, specific funding o o ranges and programmatic recommendations are provided. The recommended funding range for Indiana is H $34.8 to $95.8 million. The CDC recommends that States establish tobacco control programs that contain e h the following elements: T
• Community Programs to Reduce Tobacco Use • Chronic Disease Programs to Reduce the Burden of Tobacco-Related Diseases • School Programs • Enforcement • Statewide Programs • Counter-Marketing • Cessation Programs • Surveillance and Evaluation • Administration and Management
The CDC draws on “best practices” determined by evidence-based analyses of excise tax-funded programs in California and Massachusetts and by CDC’s involvement in providing technical assistance in the planning of comprehensive tobacco control programs in other states.
The Hoosier Model for comprehensive tobacco prevention and cessation is derived from the Best Practices model outlined by the National Centers for Disease Prevention and Control (CDC) and required by I.C. 4-12-4. In addition, guidance is provided through recommendations outlined in the Guide to Community Preventive Services for Tobacco Control Programs. This Guide provides evidence the effectiveness of community- based tobacco interventions within three areas of tobacco use prevention and control: 1) Preventing tobacco product use initiation, 2) Increasing cessation 3) Reducing exposure to secondhand smoke. The Hoosier Model has five major categories for funding and incorporates elements from all nine categories recommended by the CDC.
The Hoosier Model consists of:
• Evaluation and Surveillance • Community Based Programs • Statewide Public Education Campaign • Enforcement of Youth Access Laws • Administration and Management
58 2004-2005 ANNUAL REPORT
Seeing Clearly
Trading Butts for Subs
The Orange County Tobacco Prevention Task partnered with the Paoli Subway to help people quit smoking, asking smokers to trade in their cigarettes for a healthy lifestyle and a free sub. Anyone who decided to quit smoking for the Great American Smoke-Out could trade their cigarettes in for a coupon for a free six-inch sub.
Rick Stoddard Continues Efforts in Indiana
Rick Stoddard visited Fort Wayne to help Smoke-Free Allen County [SFAC] with ongoing efforts to advance Environmental Tobacco Smoke (ETS) smoke policies in the workplace. Stoddard spoke to more than 200 employees, and their family members, of Parker Hannifin, about the plant’s newly instituted smoke-free policy. In addition to the policy, Parker Hannifin has encouraged and assisted employees to quit smoking for their health. Rick congratulated participants for quitting, and encouraged more to sign up. He praised Parker Hannifin, SFAC and Parkview Hospital for teamwork and leadership in prompting ETS policies, protecting workers from secondhand smoke.
59 Looking Forward
s ITPC Annual Accomplishments • Launched an aggressive youth-led tobacco movement t n called VOICE, formed a youth advisory board and held e our first statewide youth summit. m SFY 2001 h
s • Allocated funds to the Indiana Alcohol and Tobacco i l • Increased earned print media coverage of tobacco p Commission to increase the enforcement of Indiana’s m youth tobacco access law issues by approximately 400% over baselines o
c established in 2000. c
A • Selected an advertising agency to begin a media l a campaign in September 2001 • Partnered with Indiana Black Expo enabling them u to sever its financial ties with tobacco companies n n and allowing ITPC to be a major part of A • Initiated the application process to fund local
C community-based partnerships in all 92 counties Summer Celebration. P T I • Initiated the application process to allocate $2.5 million • Decreased the average noncompliance rate for for local minority-based partnerships to address health retailers inspected for violations to Indiana’s tobacco disparities in Indiana, and sales to minor laws to 20% in 2002.
• Started the process to select an evaluation and • Established an evaluation coordinating center to research coordinating center provide external evaluation for the ITPC program.
• Recruited and hired staff SFY 2003 • Youth smoking for high school students decreased SFY 2002 26% from 2000 to 2002; meeting the 2005 objective. • Awarded funding to 88 of 92 counties for local partnerships grants to conduct a coordinated, • Over 193,000 Hoosier adults reported quitting comprehensive tobacco prevention and cessation smoking in 2002. program. These grants represent over 1200 new tobacco control partners in the state of Indiana. • Approximately 86% of Hoosier adult smokers reported they expect to quit smoking and 62% say they will quit • Approved funding for 27 local minority partnership smoking in the next 6 months. grants representing 20 of the 29 counties with the majority of the minority populations in Indiana. • Cigarette consumption in Indiana, measured by cigarette stamp sales for SFY 2003 decreased 17%, • Completed the Community Programs funding with at the same time increasing state revenues by 203%. awards to 19 statewide, regional and pilot program partners in June 2002. • All of Indiana’s 92 counties received a grant to conduct tobacco prevention and cessation in their communities, • Successfully planned and launched three advertising including setting up resources to help smokers quit. campaign waves, two new brands (Whitelies.tv and Over 1,600 local organizations are involved statewide, VOICE.tv), and reached millions of Hoosiers with a including 31 local minority organizations and 19 state, Live Without Tobacco message. regional and pilot programs.
60 2004-2005 ANNUAL REPORT
• ITPC partners have conducted over 4,700 activities at the local level, such as implementing prevention and education programs in schools, developing cessation networks, and raising awareness A Closer Look of tobacco prevention efforts.
• Local coalitions are working to pass comprehensive smoke free air policies. In April 2003 Bloomington passed the most Hispanic Grocery Honored comprehensive ordinance in the state banning smoking in all for Smoke-Free Policy public places. Monroe County followed in May 2003. Jesus and Alicia de Santiago, owners of the Jalisco Grocery in Lafayette, • ITPC implemented a comprehensive training plan for staff, were recently formally recognized for keeping their store smoke-free for board, and partners. Through a variety of training mechanisms, employees and customers. The couple was presented certificates of partners are getting the resources needed to implement their appreciation from the Latino Tobacco Control Program of Clinton and local tobacco control programs. Tippecanoe Counties and the Indiana Latino Institute.
• Every county in the state is being reached by the media campaign and results from the youth and adult media tracking surveys indicate that 75% of Indiana youth and adults are aware of advertisements from the ITPC media campaign.
• Youth who were aware of at least one ITPC ad were 45% more likely to understand that tobacco is addictive and dangerous compared to those not aware of any ITPC ads. Adults who confirmed seeing an ITPC ad were 51% more likely to believe the dangers of tobacco use.
• Youth that could recall at least one ITPC TV ad were 55% more likely to agree with anti-tobacco industry attitudes than those who have not seen any TV ads.
• A website, www.WhiteLies.tv , was created to educate • The ITPC partnership with the Alcohol and Tobacco consumers on the tobacco industry lies and the Commission (ATC) has reduced the non-compliance negative health consequences of tobacco use in rate of retails sales to minors from 29% in October Indiana. www.WhiteLies.tv has received over 2 million 2001 to 14% in June 2003-the lowest rate ever. successful hits and www.VOICE.tv over 500,000 hits. • ITPC’s evaluation and research coordinating center • ITPC continued its support of the youth-led movement, conducted the first adult tobacco survey and the VOICE, and held the second “Say What” VOICE youth second youth tobacco survey; designed and implemented summit, where 300 Indiana youth gathered to learn a web-based program tracking system to allow ITPC about VOICE and how to “Have Your Say” against the partners report their activities; and conducted an annual tobacco industry. assessment to gauge progress from the first year.
61 Looking Forward
s • Indiana news media have devoted more newsprint • Indiana served as one of two national pilots for an t n and airtime to tobacco control stories, specifically advanced tobacco control leadership fellows program. e about the local coalitions and issues surrounding A total of 14 local tobacco control advocates from m h smoke free air policies, logging over 2500 newspaper Indiana were selected to participate through an s i l articles. Compared to 1999-2000, coverage of tobacco extensive application process. p
m issues in Indiana newspaper has increased by over o • Eight out of ten Indiana youth and adults have seen an c 900 articles in 2002-2003. c advertisement from the ITPC media campaign. A l SFY 2004 Confirmed awareness of the ads has steadily increased a u • Youth smoking among high school students decreased of the past few years as every county in the state is n n 26% from 2000 to 2002; meeting ITPC’s 2005 objective. being reached by the media campaign. A C
P • Cigarette consumption in Indiana decreased 18.5% • Youth who were aware of at least one ITPC ad were 59% T I since SFY 2002, while at the same time state revenues more likely to understand that tobacco is addictive and increased by 175%. dangerous compared to those not aware of any ITPC ads.
• ITPC entered into its second funding cycle for • The social acceptability of using tobacco among youth Community, Minority and Statewide grants, all has declined significantly since 2001. accomplished through Request for Proposals. • Adults who confirmed seeing an ITPC ad were 56% • All of Indiana’s 92 counties received a grant to conduct more likely to agree that secondhand smoke is a serious tobacco prevention and cessation in their communities, problem and that indoor worksites should be smoke free. including setting up resources to help smokers quit. Over 1,600 organizations are involved locally, including • Adult smokers who had confirmed awareness of an ITPC 25 local and state minority organizations and 12 TV ad were twice as likely to have tried to quit smoking organizations working on statewide programs. in the past year.
• ITPC local partners conducted over 10,200 activities • The website www.WhiteLies.tv educates Hoosiers on at the community level, such as implementing prevention negative health consequences of tobacco use and the and education programs in schools, developing cessation burden on Hoosiers and has received over 4 million networks, working to protect Hoosiers from secondhand successful hits. smoke, engaging local businesses, and raising awareness • ITPC continued support of the youth-led movement, of tobacco prevention efforts. VOICE, through local events. The youth-focused website, • ITPC ‘s comprehensive training plan for staff, board, www.VOICE.tv, has had over 1.4 million hits. and partners used a variety of training mechanisms • ITPC strengthened its partnership with Indiana so partners get the resources needed to implement Black Expo and the Summer Celebration enabling their local tobacco control programs. In SFY 2004, the IBE to continue to sever its’ financial ties with these training opportunities included the second ITPC tobacco companies. Partnership Information X-Change with over 350 tobacco control advocates from 88 counties in attendance. • ITPC hosted the 2nd annual Tobacco Free Kids Day at the Indiana State Fair. In 2003, ITPC and the State Fair recruited a youth sports figure resulting in the 62 largest-recorded Tuesday attendance, up 64% over the previous years attendance. 2004-2005 ANNUAL REPORT
• ITPC partnered with many events throughout Indiana, • ITPC monitored programs through a quarterly reporting including Circle City Classic, Fiesta Indianapolis, La system. The system is web-based for program monitoring. Grand Fiesta, county fairs and other community events. The activities occurring in the local communities are tracked to ensure the programs are executed properly • Indiana news media generated nearly 4,800 articles and to assess the level of activity at the local level. since May 2002 to tobacco control stories, specifically about the local coalition activities and issues surrounding • ITPC worked with the State Board of Accounts to have smoke-free air policy. field auditors around the state visit the ITPC partners and perform monitoring engagements. The engagements, • The ITPC partnership with the Alcohol and Tobacco similar to a mini-audit of grant funds, also serves as Commission (ATC) has reduced the non-compliance rate an opportunity to educate grantees on administering of tobacco retail sales to minors from 29% in October funding in a not-for-profit environment. 2001 to 13% in SFY 2004. SFY 2005 • Enforcement of Indiana’s tobacco laws has become • Youth smoking among high school students a priority among law enforcement. The ITPC/ATC decreased 32% from 2000 to 2004; surpassing partnership continued to provide 13 additional state ITPC’s 2005 objective. excise officers and support staff, resources for training law enforcement officers on the enforcement of • The middle school youth smoking rate is 7.8%, a Indiana laws. decline of 20% from 2000. Youth smoking rates are below the national rates for the first time. • TRIP officers conducted close to 6,400 retailer inspections, averaging over 530 inspections per month. • Indiana’s adult cigarette smoking rate of 24.9% indicates a significant decrease of 10% since • ATC performed 649 retailer training workshops reaching 2002 (27.7%). 21,000 people during last fiscal year. • In May, Indianapolis passed a smoke-free workplace • The percentage of current high school smokers refused law that takes effect in March 2006 and joins purchase of cigarettes due to age increased to nearly communities such as Bloomington, Fort Wayne, 40% in 2002, up from approximately 30% in 2000. and Monroe County with smoking restrictions.
• ITPC’s evaluation and research coordinating center • Twenty-five (25) hospital and health care facilities continued to analyze data and produce fact sheets to took their grounds smoke free, twice the number of share tobacco use behavior, attitude and belief trends tobacco free policy changes in 2004. in Indiana. • Seven healthcare providers received the first Rural • ITPC conducted the 4th media tracking survey and Indiana Smoke-Free Environment (R.I.S.E.) awards, prepares for the 2nd adult and youth tobacco surveys. a collaboration with the Indiana Rural Health Association’s annual meeting. • ITPC partnered with the State Personnel Department to promote quitting smoking to all state employees through • Cigarette consumption has decreased 19% since SFY personnel communication, working through health plans, 2002, while at the same time state revenues increased promoting resources, and regular contact with all agency by 164%. However, the reduction in consumption has human resources directors. slowed since SFY 2003. Looking Forward
s • ITPC conducted the 2nd adult and 3rd youth tobacco • ITPC local partners have conducted over 7,500 activities t n surveys, as well as the 4th media tracking survey. at the community level, such as implementing prevention e and education programs in schools, developing cessation m h • The Indiana Air Monitoring Study found full-time bar networks, working to protect Hoosiers from secondhand s i l and restaurant employees are exposed on the job to smoke, engaging local businesses, and raising awareness p
m more than seven times the annual limit of fine of tobacco prevention efforts. o
c particulate air pollution recommended by the EPA. c
A • ITPC partners raising awareness on tobacco control l
a • Across three Indiana cities the level of indoor air pollution issues delivering a over 1,000 presentations locally. u as measured by average PM2.5 level was 94% lower n n in the venues that were required to be smoke-free • Training community members to influence tobacco control A
C compared to those where smoking was permitted. policies. A total of 475 training activities were recorded. P T I • The level of these fine particles (PM2.5) decreased by • More than 950 local cessation services have been provided, 89% in seven venues sampled in Bloomington after including activities focusing on helping youth quit or indoor smoking was prohibited by local ordinance. educating them on the dangers of their smoking. After the law, observed compliance was high – no smoking was observed in 89% of the venues that • Approximately 60% of youth reported smoke free homes. were required to be smoke-free. An increase since 2002, when 45-49% of youth reported smoke free homes. • ITPC’s evaluation and research coordinating center analyzed data and produced fact sheets to share tobacco • Forty-five percent (45%) of Hoosier youth are protected use behavior, attitude and belief trends in Indiana. from secondhand smoke in schools. Twenty-four (24) counties have all tobacco free schools districts with • Nine Hoosiers presented their work from Indiana at another 36 counties have a portion of their school the 2005 National Conference on Tobacco or Health districts with tobacco free campuses. in Chicago. • Approximately 300 schools and over 23,000 students • Nearly 1,800 “How to Quit” packets have been requested received the Tar Wars presentations in 70 counties through the 1.866.515.LIFE toll free line and throughout Indiana between SFY 2003-2005. www.WhiteLies.tv website, 380 in SFY 2005. • Indiana Boys & Girls Clubs have surpassed their pledge • ITPC continues to work with the State Board of Accounts to involve 35,000 Club members as participants in to have field auditors around the state visit the ITPC tobacco prevention programs by involving nearly partners and perform monitoring engagements. As of 48,000. SMART Moves program has involved nearly June 30, 2005, the SBOA has completed a total of 279 450 SMART leaders activities with approximately monitoring engagements, 87 in SFY 2005. 2,500 young adults in anti-tobacco leadership and advocacy roles. • All of Indiana’s 92 counties received a grant to conduct tobacco prevention and cessation in their communities, • Prenatal Substance Use Prevention Program (PSUPP) including setting up resources to help smokers quit. site directors screened over 750 pregnant women for Over 1,600 organizations are involved locally, including tobacco, alcohol and drug use, with 72% termination 25 local and state minority organizations and 12 organ- of tobacco use at delivery. izations working on statewide programs. 2004-2005 ANNUAL REPORT
• Five regional VOICE Hubs, representing 54 partners were • Confirmed awareness of the ads has steadily established. Each hub provides technical assistance for increased of the past few years as every county in the local adults and youth on youth advocacy and how to state is being reached by the media campaign. build and sustain their local VOICE movements. • Seven out of ten Indiana youth and adults have seen • Over 4,000 youth planned VOICE activities reaching a TV advertisement from the ITPC media campaign. more than 20,000 youth statewide. • Significantly more adults strongly agree that exposure • VOICE Hubs conducted Adults as Allies, Media Literacy to secondhand smoke is a serious problem. and Advocacy, and Leadership Intensive Training for a total of 258 youth and 120 adults. • The website, www.WhiteLies.tv, educates Hoosiers on negative health consequences of tobacco use and • Nearly 450 youth and adults from 30 counties participated the burden on Hoosiers and has received over in one of the two Summer Conferences offered by 261,000 visitors, 70,000 in SFY 2005. Indiana Teen Institute (ITI) in July 2004. • ITPC continued support of the youth-led movement, • More than 250 youth and adults converged in July 2004 VOICE, through local events. The youth-focused at Holiday World in southern Indiana to thank the fun website, www.voice.tv, has had one million hits from park for instituting a smoke-free policy. 29,000 visitors in SFY 2005.
• The Youth Advisory Board (YAB) comprised of roughly 50 • Indiana news media have generated nearly 3,000 high school students from throughout Indiana continued articles on tobacco control stories, specifically about its integral role in the VOICE movement. the local coalition activities and issues surrounding secondhand smoke. The number of secondhand smoke • ITPC partners with many events throughout Indiana, articles doubled between SFY 2004 and SFY 2005. including the 3rd annual tobacco-free day at the Indiana State Fair, Indiana Black Expo's Summer Celebration, • Seven counties doubled or tripled their newsprint Circle City Classic, Fiesta Indianapolis, Women’s Expo, coverage of tobacco topics from the previous year county fairs and other community events. and four counties had over 100 news items this year.
• The 3rd annual Tobacco-Free Day included the VOICE • The ITPC partnership with the Alcohol and Tobacco Xtreme air Show featuring Tony Hawk. Over 75 VOICE Commission (ATC) has reduced the non-compliance youth were in attendance to hand out VOICE gear and rate of tobacco retail sales to minors from 29% in vouchers for the Tony Hawk show. October 2001 to 14% in SFY 2005.
• The WhiteLies.tv tobacco prevention message was • TRIP officers conducted close to 9,100 retailer reinforced to the more than 300,000 attendees during inspections, averaging over 750 inspections per month. IBE’s 34th annual Summer Celebration that included 40,000 people attending the WhiteLies.tv Music • ATC performed 544 retailer training workshops reaching Heritage Festival II; visitors at the health fair and over 12,000 people during last fiscal year. exposition hall; and the “Saving Our Youth” Celebrity Basketball Game. Looking Forward
e Evaluation and Surveillance c n a l l Purpose Findings i e A comprehensive tobacco control program must have a Indicators the ITPC’s evaluation plan is measuring demonstrate v r strong evaluation component in order to measure program that Indiana is on track to reducing tobacco use among all u
S achievement, improve program operations, manage program Hoosiers. We are working to change social norms around d
n resources, ensure funds are utilized effectively, and to tobacco and make tobacco use unacceptable in Indiana. a demonstrate accountability to policymakers and other stake- These long held attitudes must be changed before we see n o i holders. Program evaluation is conducted in two ways: our tobacco use behaviors change. We are seeing these t a Surveillance and Evaluation research. Surveillance is the attitudes shift, as coalitions are working in their communities u l monitoring of tobacco-related behaviors, attitudes, and health and all Hoosiers are learning more about the burden tobacco a v
E outcomes in which data is collected on a routine basis. places on us all. The following includes highlights from Evaluation research employ surveys or data collection systems major components of the ITPC Program Evaluation efforts. specifically designed to measure specific program activities. These two methods complement each other to allow program Indiana Adult Tobacco Survey administrators to assess progress toward program objectives. The Indiana Adult Tobacco Survey (ATS) was administered in November and December 2004 for the second time. The Indiana’s Efforts survey was first conducted during the same time period in The ITPC commitment to evaluation is center to its programs. 2002. The ATS surveyed 2,000 Hoosier adults randomly The ITPC Executive Board has maintained its commitment selected based on a sample proportionate to the state pop- to evaluation in SFY 2005, and continued to work with an ulation, though African-American and Hispanic households independent Evaluation and Research Coordinating Center, were oversampled in order to attain sample sizes sufficient American Institutes for Research (AIR). The AIR team includes: for comparisons among subpopulations. The Indiana ATS AIR, The McCormick Group, Stone Research, Promotus is a 131-question survey largely adapted from the CDC’s Advertising, and researchers from Indiana-based universities Adult Tobacco Survey that asks about tobacco use behav- including Indiana University and the Bowen Research Center, iors; attitudes toward tobacco and tobacco companies; and Ball State University. AIR implemented the evaluation desires to quit smoking; support of smoke free air policy; plan for Indiana’s comprehensive program. With the guidance and many other topics. This survey allowed ITPC to gather of the 2005 objectives and the vision and mission statements and use in depth information to better develop programs. outlined by the Executive Board, AIR developed a set of measures with various data sources to evaluate the impact programs are making in achieving the ITPC mission and objectives (See pages 6-11). In addition to continuous program monitoring, ITPC has secured the services of the State Board of Accounts’ Field Auditors to conduct compliance checks of fiscal responsibilities of all tobacco control program grant dollars. All information gathered through the ITPC Evaluation and Research Coordinating Center will be used to improve programs by making adjustments when they may be needed and enhancing components in areas that are already working.
66 2004-2005 ANNUAL REPORT
Intensity of Tobacco Addiction Current smokers’ level of addiction to cigarettes is defined by how soon a smoker has a cigarette after waking up and how many cigarettes Seeing Further smoked per day. Smoking a cigarette within 5 minutes of waking up constitutes high dependence; smoking 6–60 minutes after waking up constitutes medium dependence; and waiting more than 1 hour before having a cigarette constitutes low dependence. Similarly, smokers’ Hancock County Hospital Honored level of addiction can be categorized as “heavy”, based on the number of cigarettes smoked per day. A heavy smoker is defined as a current, for Smoke-Free Policy everyday smoker of at least one pack of cigarettes (i.e., 20 or more) per day. Chart 34: Tobacco Addiction Level Among Current Smokers, Hancock Memorial Hospital’s Tobacco Prevention and Cessation Program 2004 shows just under half of current smokers smoke at least 20 was nominated and selected to receive Indiana’s “Tony and Mary Hulman cigarettes per day. When observed by age group, smokers between Health Achievement Award” for Business and Industry in the field of the ages of 35 and 64 are clearly more likely to be heavy smokers than Preventive Medicine and Public Health, sponsored by the Indiana Public smokers under 35. As shown in Chart 35: Heavy and Light Smokers by Health Foundation, Inc. Age, 2004, heavy smokers constitute an increasingly larger share of all smokers as they age, in spite of overall smoking rates declining with Says coalition director Brandee Bastin: “We feel this is a major age. The primary basis for the reduction in smoking rates for older age accomplishment, because we all struggle to make our successes in groups is the dramatic reduction in light smokers beginning after age 34. tobacco control recognized as a positive movement for Indiana.”
Chart 34: Tobacco Addiction Level Among Current Smokers, 2004 Online Memorial Created to Remember High Local Tobacco Deaths Medium Low Tobacco-Free Gibson Co. has pioneered an online version of the traveling 27.7% 25.2% memorial wall on their web site. Photos of local victims of tobacco-related diseases change as they become available. Other Gibson County tobacco victims are memorialized on a separate page, where family members can continue to post the names of their lost loved ones.
47.1% Check out the Gibson County online memorial wall at: www.tobaccofreegibson.org
Nearly one-fourth of smokers are considered highly-dependent smokers and another 25% are low dependence smokers.
67 Looking Forward
Chart 35: Heavy and Light Smokers by Age, 2004 Such findings correspond with the significant increases e c 40% observed in the percentage of adults who reported awareness n Light a l Heavy of local efforts to restrict smoking in workplaces and l i
e restaurants since 2002. v r 30% u
S In addition to showing lower social acceptance of smoking, 23% d 27% 14% the increase in home smoking rules is a strong predictor of n a 20% quit attempts. Furthermore, more Hoosiers believe that light n 10% High o cigarettes are not safer than regular cigarettes. This i Medium t Low a eliminates an important and fallacious risk reduction u l 10% strategy that keeps some smokers from quitting. a 4%
v 17% 15%
E 14% 11% 7% Additionally, significantly more Hoosiers than in 2002 are aware of smoking cessation programs offered by their 0% 18-24 25-34 35-49 50-64 65+ employers, and greater numbers of smokers are trying nicotine Heavy smokers constitute an increasingly larger share of all smokers as they age. replacement therapies to quit. Since nicotine replacement therapies are costly, willingness of smokers to spend money Type of Cigarettes Smoked by Adults to quit indicates a greater degree of commitment to quitting. Just over three-fourths of adult smokers preferred plain cigarettes to menthols, and preferred premium cigarettes Additional data from the ATS is presented in Tobacco Use to discount cigarettes. “Light” cigarettes were slightly more Burden on Indiana and Tobacco Control Policy sections and common (42 percent) than “regular” cigarettes (38 percent ), at www.itpc.in.gov/research.asp. and were more than twice as common as “ultra lights” (20 percent). There were no significant differences Indiana Youth Tobacco Survey between 2002 and 2004 in the types of cigarettes smoked ITPC conducted the Indiana Youth Tobacco Survey (YTS) by adults. throughout the State from grades 6-12. The samples are divided between middle school (grades 6-8) and high school The 2004 Adult Tobacco Survey results shared throughout (grades 9-12). In 2004, of the 60 sampled middle schools, this report indicate that Indiana is poised for a reduction in 47 middle schools participated in the survey. Approximately smoking prevalence. The attitudes, beliefs, and behaviors 2000 middle school students took the survey. The overall which typically precede such outcomes are evident. response rate for the middle school survey was 65%. Forty-five Specifically, there is substantial evidence that ITPC’s recent of the 59 sampled high schools participated in the survey. public education campaign focus on secondhand smoke Approximately 3400 high school students took the survey. has yielded greater support for indoor smoking restrictions The overall response rate for the high school survey was 63%. and led to more households adopting no-smoking rules since 2002. Most adult Hoosiers now believe that secondhand As shown in Tobacco Use Burden on Indiana pages, high smoke is a serious health hazard that people have a right school smoking declined significantly by 32%: from 31.6% not to be exposed to, and would prefer that smoking not be in 2000 to 21.3% in 2004. In 2004, the smoking rate among allowed in workplaces, including bars and restaurants. Indiana high school students was below to the national average of 22%. Smoking among middle school students
68 2004-2005 ANNUAL REPORT
declined 20% (from 9.8% in 2000 to 7.8% in 2004). Although Chart 36: Average level of Indoor Air Pollution in Each this difference for middle school youth is not statistically City Sampled significant, it indicates a trend in the right direction. The 500 smoking rate among Indiana middle school students is similar ) m / 432 to the national average of 8%. g 400 µ ( 3 l e v e l Additional data from the YTS is presented in Tobacco Use 300 314 M 5 273 Burden on Indiana pages and at www.itpc.in.gov/research.asp. . P 2 e
g 200 a r
Indiana Air Monitoring Study e v Secondhand smoke is a known human carcinogen120, and A 100 is responsible for an estimated 53,000 deaths and other 32 illnesses121. Secondhand smoke exposure remains a major 18 0 122,123 Bloomington Bloomington Bloomington Indianapolis Fort Wayne public health concern that is entirely preventable . Policies (pre-law) (post-law) (post-law compliant) requiring smoke-free environments are the most effective The three cities were selected to represent highly populated method for reducing SHS exposure in public places124. but geographically different areas of Indiana with various types of clean indoor air legislation in effect. Within each In order to protect the public health, the U.S. Environmental city, efforts were made to visit a minimum of 6 restaurants and bars in each city, and at least two popular entertainment Protection Agency (EPA) has set limits of 15 µg/m3 as the districts were visited in each city. 3 average annual level of PM2.5 exposure and 65 µg/m 24-hour exposure. PM is the concentration of particulate matter in 2.5 Study Highlights the air smaller than 2.5 microns in diameter. Particles of • Overall, across all 3 cities the level of indoor air pollution this size are released in significant amounts from burning as measured by average PM2.5 level was 94% lower in the cigarettes and are easily inhaled deep into the lungs. venues that were required to be smoke-free compared to those where smoking was permitted. The purpose of this study was to examine indoor air quality in a sample of restaurants and bars in 3 Indiana cities, • The level of PM2.5 decreased by 89% in seven venues Bloomington, Indianapolis and Fort Wayne. The study assessed sampled in Bloomington after indoor smoking was prohibited the relationship between indoor air pollution, the presence of by local ordinance. In the two Bloomington venues that were smoke-free regulations, and the presence of on-premises smoke-free at baseline the level of PM2.5 was unchanged. smoking. These associations were assessed across the 3 cities After the law, observed compliance was high – no smoking and also longitudinally in Bloomington where locations were was observed in 89% of the venues that were required to be visited before and after the implementation of a clean indoor smoke-free. air law prohibiting smoking in these locations.
120 National Toxicology Program. 9th Report on Carcinogens 2000. Research Triangle 123 U.S. Department of Health and Human Services. Reducing tobacco use: a report of Park, NC: U.S. Department of Health and Human Services, National Institute of the Surgeon General. Washington, D.C.: US Government Printing Office, 2000. Environmental Health Sciences; 2000. 124 Hopkins DP, Briss PA, Ricard CJ, Husten CG, Carande-Kulis VG, Fielding JE, et al. 121 CDC. Annual smoking-attributable mortality, years of potential life lost, and eco- Reviews of evidence regarding interventions to reduce tobacco use and exposure to nomic costs – United States, 1995-1999; MMWR 2002;51(14):300-320. environmental tobacco smoke. Am J Prev Med 2001;20(2 Suppl):16-66. 122 Second national report on human exposure to environmental chemicals. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Environmental Health, 2003.
69 Looking Forward
• Employees were exposed to levels of particulate matter Baseline data was collected prior to the launch of the e c far in excess of levels recommended by the EPA. Based on statewide media campaign and follow up surveys are n a l the average level PM observed in venues where smoking conducted annually to see what knowledge and attitude l 2.5 i 3 e was not restricted by law in this study (420 µg/m ), full- changes had occurred in youth and adults. Two surveys were v r time bar and restaurant employees are exposed on the job developed, youth and adult, with approximately 1000 people u
S to more than seven times the annual limit of fine partic- surveyed in each survey, including an oversample of African d ulate air pollution recommended by the EPA. Americans and Latinos. These additional respondents allow n a ITPC to evaluate its ethnic marketing focus. n
o • The average level of indoor air pollution was seen in i t 3 a Indianapolis (432 µg/m of PM2.5) where there were no The survey measured overall campaign awareness, as well u l restrictions on indoor smoking. This level is 14-times higher as knowledge, attitudes and beliefs on tobacco-related issues a v than that seen in smoke-free Bloomington. as the media campaign works to shift these beliefs to anti- E tobacco. Advertisement awareness is the first major step in
3 • The average level in Fort Wayne (314 µg/m of PM2.5) was an effective campaign because people must be aware of 10-times higher than in smoke-free Bloomington. advertisements to be influenced by them. Findings from other state and national campaigns suggest that advertisement The full report can be found at awareness increases anti-tobacco knowledge, attitudes, http://www.in.gov/itpc/files/research_238.pdf and beliefs, leading to reductions in cigarette smoking. This project was conducted in collaboration with the Indiana Academy of Family Physicians and Roswell Park Initial results from the 2005 media tracking surveys include: Cancer Institute. • Confirmed awareness of the ITPC ads has significantly increased since 2002. However, there has been a slight, Chart 37: Bloomington, IN before and after although non-significant decline between 2004 and Smoke-free air law 2005 among overall awareness to the ads among adults.
) 1400 M 3 m
P Pre-Law 12/10/04 / ( • Overall awareness among youth remained unchanged g 1200 Post-Law 1/21/05 n µ o n i i 5 t in 2005 with 80% of Hoosier youth seeing an ITPC ad. . 2
u 1000 l l o P 800 • Television ads are the most recognized medium with r i
A seven out of ten adults and youth (69%-adults, 71%- e
l 600 c
i youth) confirming awareness of a TV ad in 2005 t r
a 400 compared to 2002 (30%-adults; 44%-youth). P e n
i 200 F • Significantly more adults strongly agreed that they 0 0 100 200 300 400 would feel comfortable telling others their age not to Elapsed Time in Minutes smoke since 2002. Media Tracking Surveys • Since 2002, significantly more adults strongly agreed Media Tracking Surveys are routinely conducted to evaluate that exposure to secondhand smoke is a serious problem. the effectiveness of the statewide media campaign. This survey has adult and youth components and serves to evaluate • Adults and youth who reported seeing an ITPC the progress of the VOICE youth movement, the “WhiteLies” billboard ad more likely to think that smoking is campaign and the sponsorship activities of these campaigns. not socially acceptable. 2004-2005 ANNUAL REPORT
• Adult who reported hearing an ITPC radio ad report they their program reports through the ITPC website with a unique would feel comfortable telling other people their age that user ID. Coalitions select from a set of activity types and answer they should not smoke, could easily refuse cigarettes if a series of questions based on the activity type they select. someone offered them, and would participate in community In addition to some results shared in the Community activities against tobacco use. Programs section, we know that local coalitions have completed the following between SFY 2003 and SFY 2005126: • Hoosier youth with confirmed awareness of an ITPC radio • Over 18,000 tobacco prevention and cessation activities ad are less likely to agree that smoking makes you look have been conducted at the local level through ITPC cool, more popular, or attractive. grantees and staff. • ITPC partners raising awareness on tobacco control • Youth who confirmed awareness of an ITPC TV ads are more likely to strongly agree they would feel comfortable issues delivering a total of 3,600 presentations locally. telling other people their age that they should not • Training community members to influence tobacco smoke, could easily refuse cigarettes if someone offered control policies. A total of 1,400 training activities them, and would participate in community activities were recorded. against tobacco use. • More than 1,300 local cessation services have been provided, with 650 activities focusing on helping youth • Youth with confirmed awareness of an ITPC TV ad are quit or educating them on the dangers of their smoking. more likely to strongly agree with statements that smoking by youth and adults is a serious problem and that smoking Analysis of News Media gets more dangerous as one gets older. ITPC’s mission is to change the cultural norms in Indiana around the issue of tobacco. One of the most effective ways Youth are also exposed to the pro-smoking messages through to do that is through earned media coverage. AIR is tracking portrayals of smoking in the mass media both glamorize information on news media coverage that is generated the behavior and send a message that it is common, and throughout the State. hence must be socially acceptable. In 2004, eight out of ten youth reported seeing actors smoke when they watched television In SFY 2005127, Indiana generated 2,938 newspaper clips, 125 esses programs or movies most or all of the time . This str higher than SFY 2004 of 2,187 clips. However, we have logged the importance of counter-smoking messages such as those more than 7,500 clips since SFY 2003. During SFY 2005: conveyed by ITPC’s public education campaigns. Data from • Approximately 20% of the stories had a national origin. the 2005 media tracking surveys continued to be analyzed • One-fourth (25%) of the stories originating at the and results will be available on the ITPC website under state level. “Research and Evaluation” in October, 2005. More information • Nearly 55% began at the local level. in this report can be found in the Statewide Public Education Campaign section.
Community Program Tracking
ITPC monitors the programs that occur at the local level. 125 2004 Indiana Youth Tobacco Survey The activities occurring in the local communities are tracked 126 Activities reported as of August 3, 2005 127 to ensure the programs are executed properly and to assess Number of clips July 28, 2005. There is often a delay of several weeks for news media clips; therefore, data available at the time of publication may not include the level of activity at the local level. Local coalitions enter all clips through June, 30 2005.
71 Looking Forward
Table 10: News Clips by County, SFY 2005 e c n a
l County # Articles County # Articles County # Articles l i
e Adams 27 Hendricks 27 Pike 3 v r Allen 63 Henry 25 Porter 39 u
S Bartholomew 172 Howard 31 Posey 17 d Benton 8 Huntington 9 Pulaski 0 n a Blackford 6 Jackson 5 Putnam 42 n
o Boone 26 Jasper 9 Randolph 19 i t Brown 4 Jay 8 Ripley 12 a u l Carroll 7 Jefferson 32 Rush 33 a v Cass 24 Jennings 8 St. Joseph 45 E Clark 16 Johnson 64 Scott 3 Clay 9 Knox 30 Shelby 20 Clinton 17 Kosciusko 13 Spencer 9 Crawford 0 LaGrange 17 Starke 3 Daviess 15 Lake 62 Steuben 50 Dearborn 7 LaPorte 80 Sullivan 7 Decatur 17 Lawrence 36 Switzerland 1 DeKalb 60 Madison 41 Tippecanoe 152 Delaware 83 Marion 312 Tipton 13 Dubois 31 Marshall 21 Union 1 Elkhart69 Martin 8 Vanderburgh 55 Fayette 11 Miami 18 Vermillion 14 Floyd 13 Monroe 107 Vigo 26 Fountain 25 Montgomery 88 Wabash 13 Franklin 6 Morgan 50 Warren 25 Fulton 30 Newton 7 Warrick 3 Gibson 56 Noble 45 Washington 14 Grant 35 Ohio 0 Wayne 34 Greene 29 Orange 28 Wells 36 Hamilton 43 Owen 22 White 9 Hancock 49 Parke 11 Whitley 16 Harrison 9 Perry 5 Out of State 38
This substantial number of stories occurring at the local level As illustrated in Chart 38: Type of News Item Covered in demonstrates how the local coalitions are working with the Indiana Newspapers, SFY 2005, a majority of the news stories news outlets in their communities to keep local tobacco control were hard news. However, the percent of letters to the editor in the news. The proportion of local stories has steadily increased from 8% in SFY 2004 to 20% in SFY 2005. This increased each year.
72 2004-2005 ANNUAL REPORT
led to an overall increase in the opinion pieces in SFY 2005, Chart 40: Tobacco Control Policy Articles by Topic, but the proportion of pro-tobacco (25%) to anti-tobacco SFY 2003-SFY 2005
(75%) opinion items did not change. The more frequent 1600 topics of news coverage were secondhand smoke, health 1400 consequences, coalition partner activities and cessation as shown in Chart 40: Tobacco Control Policy Articles by 1200 s e l c i
Topic, SFY 2003-SFY 2005 and Chart 41: Articles on Health t 1000 r A f o r
Consequences by Topic, SFY 2003-SFY 2005 e b 800 m u N
600 Chart 38: Type of News Item Covered in Indiana 400 Newspapers, SFY 2005 Advice 2% 200
0 Secondhand Smoke Economic Youth Access Advertising MSA Expenditures Other Disincentives Restrictions Letter to the Editor SFY 2003 814 307 215 33 469 196 SFY 2004 798 223 252 40 337 328 20% SFY 2005 1538 268 120 28 188 389
The number of articles on specific tobacco control policy. The most frequent topic includes secondhand smoke and between SFY 2004 and SFY 2005 the number of articles doubled on this topic. Editorial Hard News 11% 67% Chart 41: Articles on Health Consequences by Topic, SFY 2003-SFY 2005
800
Nearly seven out of ten news items were hard news articles with the
remaining items opinion items. 600 s e l c i t r A f o r
Chart 39: Slant of Opinion Items in Indiana News Media e b 400 m u
Coverage, SFY 2003-SFY 2005 N 1000
Anti Tobacco Pro Tobacco 709 200
800
0 Health Health Care Prevalence Cessation Secondhand Smoke Consequences Costs 600 485 SFY 2003 231 420 118 450 449 SFY 2004 173 617 257 506 473 SFY 2005 597 784 201 431 551
377 The number of articles on health consequences of tobacco use. 400 The most frequent topics include overall health consequences of tobacco use and especially exposure to secondhand smoke.
252 200
144
75
0 SFY 2003 SFY 2004 SFY 2005 Anti tobacco opinion items out number pro-tobacco items 4:1 a steady ratio between SFY 2003 to SFY 2005. 73 Looking Forward
Also tracked is the number of articles by county, as illustrated for diverse audiences. ITPC, with the its evaluation and e c in Table 10: Number of News Articles by County, SFY research coordinating center and other partners presented n a l 2005. The number of clips per county varies from 1 to 312 data to the ITPC Executive Board and Evaluation l i
e clips. These data show the number of articles covered in Committee, among other audiences and produced the v r newspapers based in a certain county; therefore a county’s following reports in SFY 2005: u
S coalition may have been covered by a neighboring county’s d newspaper (the newspaper may serve more than one county). • Seeing is believing—How exposure to ITPC’s media n a The following counties nearly doubled or tripled their campaign affects tobacco knowledge, attitudes, and n
o newsprint coverage of tobacco topics: Bartholomew, Clark, beliefs among Hoosier adults and youth; October 2004 i t
a DeKalb, Hamilton, LaPorte, Marion and Tippecanoe. Four • Indiana Media Tracking Survey: 2004 Comprehensive u l counties had over 100 news items in SFY 2005. Report; Adult and Youth; October 2004 a v • Indiana Air Monitoring Study, April 2005 E Effects of Print Media on Attitudes Toward Smoking • In addition, many fact sheets covering topics on adult Utilizing data from the media tracking survey and the news and youth smoking, tobacco use among minorities clips, there is a relationship between the amount of tobacco and pregnant women, use of other tobacco products, control-related media coverage presented in eight Indiana secondhand smoke, the impact of tobacco business, geographic regions and tobacco-related attitudes among have been developed and are available on the ITPC residents of those regions. Findings showed statistically website at www.itpc.in.gov/research.asp. significant relationships between the number of stories on tobacco taxes and the economic consequences of smoking ITPC and its partners frequently give presentations on and the belief that smoking by youth is a serious problem. its programs and the fundamentals of tobacco control Furthermore, the amount of media coverage on the health throughout the State. In addition, research and evaluation consequences of smoking had a significant relationship to abstracts from ITPC and its partners were selected for the attitudes toward the tobacco industry, willingness to tell 2005 National Conference on Tobacco or Health. Indiana others not to smoke, and a belief that one’s family is opposed presenters and presentations given include: to one’s smoking. • Alan Backler- “School Tobacco-Use and Addiction Prevention Toolkit” The relationship between coverage of health consequences • Brenda Chamness- “Scan, Plan, Evaluate! Policy of smoking and respondents stating willingness to tell others Driven Initiatives On Indiana College Campuses” not to smoke suggests that media coverage may socially • Joy Edwards- “Stress Management as Relapse empower individuals to advise others not to smoke. Thus, Prevention for Smoking Cessation” the news media may not only reinforce already held beliefs • Julia Eminger- “VOICE Hubs: Model for a Successful about the dangers of smoking, but may also allow individuals Youth Movement Structure” to cite “outside” credible sources in telling others not to smoke. • Karesa Knight- “Utilizing All Tobacco Control Resources: How to Collaborate Effectively” Dissemination of results • Shelley O’Connell- “Smoke-free Air Coalition Structure With the magnitude of information and data generated, ITPC and Maintenance for Successful Policy Change” and is producing many reports to share these findings with others. “Scan, Plan, Evaluate! Policy Driven Initiatives On These data are presented in a variety of media adapted Indiana College Campuses”
74 2004-2005 ANNUAL REPORT
• Karla Sneegas- “Strategic Planning for Statewide • February 2005 Comprehensive Tobacco Control” and “Taking it Local - – Smoke Free Indy Community Forum, Martin How Local Partners Can Help Sustain Tobacco University, “Secondhand Smoke-Health, Control Programs” Economics and Solutions” • Peggy Voelz- " ‘SAK’ The Pack -Tackling Tobacco, A – CDC, Office on Smoking and Health, Health Unique Approach To Tobacco Counseling” and “Taking Communications, Evaluation and Surveillance it Local - How Local Partners Can Help Sustain Tobacco Meeting, “News Media Tracking”, and “Getting Control Programs” the Community ready to Work a Secondhand • Alec Ulasevich- “Influence of Media Coverage on Smoke Campaign” Perceived Relevance of Youth Smoking” • March 2005 ITPC staff frequently share their expertise with other state – Spirituality and Addiction, Indiana State and national programs. University, Terre Haute, IN, “The Hoosier Faith and Health Coalition: The Making of a Movement” • August 2004 - Many Voices One Vision Conference – Indiana Rural Health Association Meeting, – A Community Approach to Tobacco Control “Tobacco-Free Hospital Campuses” – “VOICE: Fight Back Against the Tobacco Industry" – Louisiana Tobacco Free Living Conference, Baton Rouge, LA, “Big Tobacco's Advertising Tactics” • September 2004 – Mid-American Public Health Training Center, • April 2005 “Faces of our Community” – IMHC Retreat, Eli Lilly, “Introduction of Tobacco Control in Indiana” • October 2004 – InJac Meeting, “Secondhand Smoke-Health, – Smoke Free Indy Community Forum, Perry Economics and Solutions” Township, “Secondhand Smoke-Health, – North United Methodist Church, Neighborhood Economics and Solutions” Meeting, Supporting Smoke Free Indy – Point Of Youth "VOICE: How to Become Involved – Purdue University, Worksite/Wellness/EAP in Youth Advocacy" to 300 youth Conference, "Comprehensive Cessation Interventions: Saving Lives and Money" • November 2004 – Progressive Missionary Baptist Church Faith- • May 2005-Indiana Public Health Association Based Leaders Breakfast, sponsored by IBE, Spring Conference, “Tobacco Control in Indiana” – “Step by Step to Leaps and Bounds: Tobacco – Anderson School Corporation, “Tobacco Control Control in Indiana”, in Indiana-A Local Perspective” – “Media as a Policy Advocacy Tool” – American Public Health Association Annual Meeting “Evaluating the Effectiveness of Indiana’s Adult Anti-Tobacco Counter-Marketing Campaign”
75 Looking Forward e c Fiscal Accountability n a l The ITPC Executive Board entered into a Memorandum l i
e of Understanding (MOU) with the State Board of Accounts v r (SBOA) in May 2002, to perform reviews of Tobacco Trust u
S Fund grants that are awarded from ITPC to local entities. d ITPC desires to ensure that local entities properly accounted n a for and spent the grant funds in accordance with grant n
o requirements. ITPC determined that it was necessary to i t
a secure the services of a professional staff with the requisite u l expertise to undertake the reviews at the local level. As a v of June 30, 2005, the SBOA has completed a total of 279 E monitoring engagements. From July 1, 2004 to June 30, 2005 the SBOA completed 87 monitoring engagements. All grant recipients have had at least two monitoring engage- policymakers and other stakeholders. ments to review the tobacco grant documents, with many being engaged three times. Once grantees have the initial monitoring engagement, they are placed on the schedule to be reviewed annually until they are no longer in the program. ITPC’s goal for the SBOA is to review all grant recipients’ documents for compliance with contractual guidelines for the entire contract period and to conduct a final review upon the conclusion of the grant cycle period.
As a result of these reviews, the SBOA issues an agreed- upon procedures report to ITPC which provides ITPC the opportunity to target technical assistance efforts to the partners that demonstrate the greatest need, as well as, adhering to the overriding goals of ensuring funds are utilized effectively. The SBOA field auditors also provide Marilyn S. Rudolph, CPA, CGFM training to partners and are available to answer entity State Examiner, IN State Board of Accounts specific questions regarding fiscal issues. “The SBOA is pleased to join with the As a component of evaluation in the comprehensive tobacco ITPC in a partnership to insure that control program, the ITPC Executive Board has chosen an organizations receiving these funds, innovative approach to monitoring its programs through a which are earmarked for programs to collaborative effort between two separate, yet distinct state improve the health of the citizens of agencies. This collaborative effort enhances and reinforces Indiana through education of the hazards ITPC’s sincere desire to demonstrate accountability to of tobacco use, are held to a high level of accountability to insure the desired results of the program.”
76 2004-2005 ANNUAL REPORT
77 Looking Forward
s Community Programs In the spring of 2005, staff conducted regional training m workshops statewide to prepare new and existing grantees a r for the application process. The new application process is g Purpose o in two parts. Part I gave the partners an opportunity to r To achieve the individual behavior change that supports the P nonuse of tobacco, communities must change the way tobacco demonstrate the strength and vitality of their coalition y t i is promoted, sold, and used while changing the knowledge, efforts as well as take the initial steps to begin writing n u attitudes, and practices of young people, tobacco users, and future work plans. m nonusers. Effective community programs involve people in m The partners have been working on four goal areas: o their homes, worksites, schools, places of worship, C entertainment venues, civic organizations, and other public 1) building and maintaining the coalitions; 2) implementing places. Evaluation data show that funding local programs work plans designed to decrease youth smoking initiation; produces measurable progress toward statewide tobacco 3) reducing secondhand smoke exposure; and 4) control objectives. increasing smoking cessation strategies and services. Local coalitions also provide training opportunities to Indiana’s Effort establish a solid foundation in tobacco control knowledge Indiana has been nationally recognized for its Community and the tactics of the tobacco industry. They have also Based Programs that incorporates Minority, School, Cessation increased advocacy activities related to tobacco free and Statewide Programs under one broad category because schools and secondhand smoke policies. these programs are interconnected and can all be addressed by linking local community coalitions with the statewide In addition to the local partnerships, the statewide projects counter-advertising program. increase the capacity of local programs by providing technical assistance on evaluating programs, promoting media advocacy, In the summer 2001, ITPC set up its community-based and implementing smoke-free policies, and reducing minors’ access minority-based grant application process utilizing the to tobacco. Supporting organizations that have statewide American Cancer Society’s Communities of Excellence access to diverse communities can help eliminate the guidelines. The first local partners were funded in December disparities in tobacco use among the State’s various 2001 and as of September 2002; all of Indiana’s 92 counties population groups. Programs that successfully assist young had a tobacco prevention coalition operating. By June and adult smokers in quitting can produce a quicker, and 2003, 31 minority-based coalitions were established in 23 probably larger, short-term public health benefit than any Indiana counties. other component of a comprehensive tobacco control program. These projects could have a broader focus to fit with ITPC’s The fall of 2003 brought a grant renewal process for local vision and mission and enhance the efforts occurring at the tobacco control efforts. ITPC staff conducted trainings on local level. evidenced-based tobacco control interventions to organizations statewide. ITPC’s commitment to its community programs The new element of the program for 2005 was the addition remained strong, building on the great progress has been of the VOICE Hub Coordinators and their programs. ITPC made. ITPC was able to continue the work of coalitions in funded five VOICE Hubs to provide training and recruitment for all 92 counties, with 24 state and local minority-based adults and youth, centralize communications, plan events partners working in 25 counties through SFY 2005, as a and provide a forum for networking the youth message result of the application process. across the state.
78 2004-2005 ANNUAL REPORT
The community programs are evolving into strong and influential forces in the statewide tobacco control movement. Their work in the local communities is vital to the success of the statewide program, and ITPC is committed to the local community programs by providing Watching the Media training, technical assistance and resources. Over 1,600 organizations work on tobacco control through the ITPC network of community programs in Indiana. See the back pages for summaries of each county Teens Enjoy Smoke-Free Fun at Theme Park and the coalitions working in those counties.
Findings Nearly 300 teens from the West Central Indiana VOICE Hub converged at Holiday World, Santa Claus, Indiana, for their regional event to thank the Local community-based and state and local minority-based programs theme park for implementing a new and improved smoke-free policy. The The community program progress is tracked through a variety of Splashin’ Safari water park has always been smoke-free, but smoking in mechanisms. This includes monitoring the implementation of activities Holiday World is now allowed in only three designated areas. VOICE youth as well as evaluating their effectiveness in working towards ITPC’s are also sending letters to other Indiana theme parks, explaining that objectives. ITPC tracks how local coalitions implement activities through VOICE might hold future events at their locations if they commit to a web-based program tracking system. Each coalition has a unique login providing smoke-free air. Thanks to West Central Indiana VOICE for all to access the system and report electronically. Through this reporting the hard work (and fun!) they put into this successful first event! system ITPC can track local program activity level. Coalitions have reported over 7,500 local program activities in SFY 2005, ranging from VOICE events to community presentations to delivering training. In SFY 2005128, these activities included: • More than 1,000 presentations in local communities • Approximately 475 training activities • Over 950 cessation programs and patient, parent and student education activities
A majority of the work local coalitions are doing is working toward Goal 1: Building Strong Partnerships, as illustrated in Chart 42: Tobacco Control Program Areas by Local Partnerships129. These activities include training of coalition and community members, adults and youth; developing relationships with key stakeholders and decision makers in their communities; and building diverse coalitions in their community. The ITPC funding provided the resources to hire staff, purchase education materials and resources, conduct training programs, and recruit and maintain local coalitions. The formation of coalitions has been a powerful and effective tool to mobilize the community to make the change that support tobacco control efforts. These coali- tions also have become the central focus in organization networks of partners through a large community.
128 Activities reported as of August 3, 2005. 129 With each activity reported, coalitions may be working on more than one ITPC goal area. Therefore, the number of activities under each goal area shown in Chart 42 exceeds the total number of activities reported. 79 Looking Forward
s Chart 42: Tobacco Control Program Areas Coalitions are working with school districts to ensure tobacco m by Local Partnerships use is not allowed on school campuses anywhere. Progress is a r 25000 being made with schools throughout Indiana as 45% of youth g SFY 2003 o SFY 2004 enrolled in Indiana public schools are protected through r 22702 SFY 2005 P 20000 100% tobacco free school policies. In 25 counties all school s y e i t t i i
v districts have implemented these policies. Another 34 counties i t c n A l
u have a portion of their school districts with tobacco free
a 15000 c
o 15105 L m f campuses. However, the remaining 33 counties do not have o r e m b 11671
m a tobacco-free campus at any of the school districts in o
u 10000 N C their counties. In many schools the students are leading the initiative to get tobacco off of their campuses. They do 5000 4442 4230 4002 4084 not want to be exposed to the smoke and feel that if the 2663 2020 2210 1822 1628 students cannot use tobacco on campus then neither 0% Building Partnerships Reducing Secondhand Smoke Preventing Youth Initiation Increasing Cessation should the adults.
Building strong partnerships was the goal area where a majority of the Figure 5: Tobacco Free Schools Map local coalitions are working, while there has been an increase in activity related to protecting Hoosiers from exposure to secondhand smoke.
Overall, the coalitions throughout the State have increased the number of voluntary smoke-free policies in worksites, government buildings, recreational facilities, and restaurants with over 100 such policy changes occurring in SFY 2005130. This tobacco control strategy is central to Goal 2: Reducing Exposure to Secondhand Smoke. Several coalitions are con- tinuing to educate their communities on the dangers of sec- ondhand smoke and that they can make a difference and enact smoke free air policies that would protect everyone with activity levels increased 60% between SFY 2004 and SFY 2005. The overall goal is to allow all Hoosiers to breathe smoke-free air. All districts are tobacco free As coalitions across Indiana work to make these changes in Portion of districts are tobacco free No districts are tobacco free their communities, they also focus on the environment of
youth. While federal law prohibits smoking within school Approximately thirty percent of Indiana’s counties have tobacco free buildings, local jurisdictions have enacted policies that school campuses for all schools. are more restrictive and encompass all school grounds. A multi-media resource was completed in February 2005 to 130 Policy reports through the program tracking system began during the 1st assist community advocates in working with school systems quarter of 2005, so the changes in policy for this time period is underreported. to develop and implement tobacco free policies. This school toolkit focuses on comprehensive school system tobacco- free policy development and implementation. The toolkit
80 2004-2005 ANNUAL REPORT
includes a web-based instrument for assessing and planning In addition, the local ITPC partner is notified that someone action for addressing tobacco use and addiction prevention in their county is interested in quitting smoking and the policies and programs in Indiana school corporations, and local coalition follows up with the individual to see if their developed a video that demonstrates how to implement compre- cessation needs are being met. hensive school tobacco polices. Select schools from across the state have served as examples for these policies and are Local coalitions are approaching tobacco control in various featured on the video. ways tailored to their own communities. Many coalitions take advantage of local fairs and festivals as an avenue for Many coalitions are getting youth involved as they work on promoting a tobacco free message. In the summer of 2004, Goal 3: Preventing Youth Initiation of Tobacco Use. Youth 36 of the 92 counties participated in their County Fairs with that do not start to smoke before the age of 19 are more likely a Tobacco Free Day and another 29 counties had a booth at to remain smoke free for their lifetime. Recommended strategies the fair, which allowed them to promote a tobacco-free for preventing youth from starting to smoke include increasing lifestyle. Huntington County took that even further and was price of tobacco products, strong media campaigns, and smoke able to make the entire fair tobacco free! free environments. All of these strategies are working in Indiana. The cigarette tax increase is having an impact Figure 6: County Fairs-Smoke Free Days and Tobacco Control Coalition Booths, 2004 as youth are more sensitive to price increases. The local communities complement these statewide strategies with leveraging local media and establishing networks that support youth in their decision not to smoke. VOICE, Indiana youth speaking out against big tobacco, is one way coalitions are supporting youth and letting their voice be heard to stop the devastation of tobacco use. More smoke free public places and workplaces impacts on the number of youth who start smoking. Smoke Free Day
Smoke Free Fair Week
Through implementing these strategies, Indiana communities Smoke Free Booth are changing social norms, creating a tobacco free culture in Indiana. Through smoke free air policies and increasing the price of tobacco, more people want to quit and need help quitting. Local coalitions are providing these resources through work on Goal 4: Increasing Cessation. While tobacco use is an Sixty-six counties had a presence on the County Fairs. addiction, people can quit with help. Setting up cessation networks and policies are key to changing how cessation is Through participation in these community events, the coalition delivered throughout the community. These local networks are can reach the community and get them involved. In 2004, key to meeting the demand for tobacco users who are ready nearly 60 percent reported having heard of local efforts to to quit smoking. Nearly 1,800 “How to Quit” packets restrict restaurant smoking, and 54 percent reported having have been requested through the 1.866.515.LIFE toll free heard of efforts to restrict smoking at workplaces. Both line and www.WhiteLies.tv website, 380 were requested in SFY of these figures represent significant increases in 2005. ITPC mails out a “get started” packet to the individ- awareness from 2002. ual who is interested in quitting smoking or to a family mem- ber or friend that they would like to encourage to quit. Find out more about your local coalition in the County Pages at the end of this report.
81 Looking Forward
s Statewide Programs resist tobacco messages and promote healthy lifestyles. m ITPC Statewide partnerships use evidenced-based tobacco In SFY 2003-2005, approximately 300 schools and over a r 23,000 students received the Tar Wars presentations in 70
g prevention and cessation efforts for youth and adults. These o counties throughout Indiana. Local coalitions appreciate r programs are implemented by diverse partner organizations P throughout the State complementing and enhancing the efforts this tobacco control program and the services of the Indiana y t i of the local programs. All grantees have been coordinating Academy of Family Physicians within their local schools. A n u and linking with ITPC to deliver a unified and strengthened highlight for Tar Wars in SFY 2005 was a new relationship m message across the State that is carefully coordinated with with students at the School of Nursing at Valparaiso m University. This new addition has enabled the Foundation to o ITPC community-based and minority-based grant recipients. C Approximately $1.25 million dollars were awarded to the fulfill the presentation requests and offer special invitations following organizations for SFY 2004-2005. Additional to schools of Lake and Porter counties. organizations were extended a grant from SFY 2003-2004, whose work was completed in SFY 2005. Indiana Alliance of Boys and Girls Clubs: The Indiana Alliance is implementing SMART Moves, a nationally recognized Future Choices, Inc.: Partners with six other organizations program encompassing instruction and skill building activities, that focus on services to those with disabilities to provide parental involvement and community support. Youth from statewide tobacco awareness and advocacy programs for the Boys and Girls Clubs also link into the VOICE movement, Hoosiers with disabilities. It concentrates on education of Indiana's youth speaking out against big tobacco. Programs the effects of tobacco use and secondhand smoke. The are established with 61 Boys and Girls Clubs in 34 counties coalition participates in different activities to educate. One through our Statewide partnership, in addition to the such project is Gateway Services/Access Johnson County’s relationships established at the local level. (See Figure 8.) “Monday Mania” which gives free bus rides to disabled This past year, each Indiana Club conducted at least 40 persons on Mondays. Future Choices, Inc. uses this opportunity SMART Moves and 25 Healthy Lifestyle activities at each of by having smoke-free brochures available and by placing its 61 locations, resulting in a successful completion of all signs in highly visible areas on the buses for riders to see. program elements. Unfortunately, the number of youth Another such program is a partnership of the Southern Indiana participating in the tobacco prevention program in the Center for Independent Living and the Kiwanis Key Club second year dropped from the first year due to funding cuts which gave out Thanksgiving Baskets to needy families and in the state prevention program. Still, the Indiana Boys & took this opportunity to hand out 180 brochures and pens Girls Clubs have surpassed their pledge to involve 35,000 about the harmful effects of smoking. Club members as participants in tobacco prevention programs by involving nearly 48,000. This year, SMART Moves Indiana Academy of Family Physicians Foundation: The Indiana program has involved nearly 450 SMART leaders activities Academy is conducting the Tar Wars Program to educate with approximately 2,500 young adults in anti-tobacco lead- elementary school youth regarding tobacco free lifestyles ership and advocacy roles. In local clubs, roughly 1,200 through a community-based approach using physicians, adults participated in approximately 45 anti-smoking ini- educators and other health care providers; with a goal of tiatives. Of those who have participated in the SMART reaching youth in all Indiana counties. Indiana Academy of Moves program, at least 70% have successfully completed Family Physicians put local coalitions in touch with 4th and all components of the program. Ninety-four percent (94%) of 5th graders in classes statewide, to educate students to participants report that the club promotes an anti-tobacco
82 2004-2005 ANNUAL REPORT
message, with 96% report they have decided not to smoke. Since the ITPC grant began, the Indiana Alliance clubs have Indiana High School Athletic Association (IHSAA): IHSAA has partnered with more than 100 local organizations to reach developed and is implementing a communications network youth in the community. to reach student athletes, teachers, coaches and administrative staff with a tobacco free message. Nearly 400 schools received Figure 7: Participating Boys and Girls Clubs materials to discuss with students about the effects of tobacco use. IHSAA also enhanced the ITPC media campaign with the help of a student-athlete advisory committee. IHSAA developed tobacco-free messages for various events, such as athletic competitions, and advertisements aired on dozens of radio stations statewide. IHSAA created and traveled with an interactive exhibit on the health effects of tobacco use and good health called “What’s your game plan for high school?” The exhibit was booked by middle schools throughout the state for the 2004-2005 academic year however fewer counties (19 counties) were reached compared to the first 2 years of the exhibit (46 counties). In total the exhibit has visited 84 middle schools and 10 Boys and Girls Clubs in 46 counties reaching over 18,500 youth.
Figure 8: Indiana Counties reached during the 2004-2005 school year by the ITPC/IHSAA interactive exhibit on tobacco free and healthy lifestyles.
Indiana FFA Organization (FFA): FFA is implementing a grassroots, youth-driven campaign including peer mentoring and leadership development for high school youth. FFA youth develop workshops and promote the tobacco-free message through conferences and agricultural networks throughout the State. Their efforts have included peer mentoring, classroom tobacco-control curriculum implementation and distribution of tobacco control materials through the various chapters throughout the state and at the national FFA Convention. Indiana FFA organization annually conducts 14 leadership conferences and workshops. Indiana FFA chapters in 200 schools from 84 counties have enabled tobacco prevention efforts to reach more than 140,000 youth throughout Indiana to date. Indiana FFA’s largest event of the year was the Indiana FFA Pavilion at the State Fair. The Pavilion included a putt-putt course that was combined with numerous signs and literature to share tobacco-related facts.
83 Looking Forward
s Indiana State Department of Health Prenatal Substance Use discontinued. Training materials are always available on m Prevention Program (PSUPP): PSUPP is a prevention program CD. ISMA continues to play a key role in helping ITPC reach a r designed to help prevent birth defects, low birth weight, physicians throughout Indiana. g o premature births and other problems due to maternal use r
P of tobacco, alcohol or drugs during pregnancy. The three In 2002-2003, ITPC partnered with the following organizations. y t
i components of PSUPP are I) identification of high-risk chem- A majority of the projects have been completed and some n
u ically dependent pregnant women, provide perinatal addiction projects have been awarded continued grants. However,
m prevention education, promote substance abstinence, provide a few have been able to adjust their projects to extend the m referrals to treatment services, and follow-up; 2) facilitation grant period, without additional funding. o
C of training and education for professionals and paraprofes- sionals who work with women of childbearing age on how to Clarian Health: Clarian Health Partners, Inc. have coordinated identify high risk chemically dependent pregnant women; training workshops of Tobacco Education Group and Tobacco and 3) providing public education on the dangers of tobacco, Awareness Program (TAP & TEG), a tobacco use intervention alcohol and other drugs use during pregnancy. The ITPC grant and cessation program by adults for youth, and Teens Against enabled ISDH to expand PSUPP to seven additional clinics Tobacco Use (TATU), a peer to peer education/prevention in rural and urban counties bringing the total number of program. Over 400 facilitators in 83 counties have been clinics to fourteen throughout the State serving 23 counties. trained and more than one hundred different organizations Due to budget cuts, the program cut three clinics to a total consisting of schools, hospitals, community centers, local number of 11 sites. In SFY 2005, site directors screened over tobacco and drug-free coalitions, health departments, police 750 pregnant women for tobacco, alcohol and drug use, while departments, minority organizations and colleges providing termination of tobacco use at delivery was 72% in the fourth these programs statewide. Clarian Health Partners continue quarter of SFY 2005. Site directors became more visible in follow-up with all TATU and TAP & TEG facilitators through their communities by receiving referrals, participating in 33 an electronic newsletter providing support for everyone working community events, making more than 70 presentations and to keep youth tobacco free. Clarian has also developed an providing education and materials to providers and the electronic resource through their Clarian Tobacco Control public. In addition, site directors discussed the dangers of Center website that links individuals with cessation services tobacco use with 60 non-pregnant women smokers and in each county. Finally, Clarian has led the development of women exposed to secondhand smoke. a cessation specialist certification and training program that ITPC will use as a guideline in the 2006-2007 local Indiana State Medical Association: ISMA developed and partnership grants. distributed materials to physicians outlining insurance coverage allowing them to better advise patients on available cessation services. ISMA has worked to encourage more physicians to provide tobacco cessation counseling by a reminder system using chart stickers. These materials have been very popular and helpful, reaching more than 8,000 Indiana physicians. In addition to ISMA’s outreach efforts, these kits has been distributed through local ITPC coalitions. ISMA has offered cessation training opportunities to health care professionals online at www.mededcme.org. However, these resources were very underutilized and therefore
84 2004-2005 ANNUAL REPORT
Figure 9: Counties participating in youth prevention measures in union-employer agreement, communicate the and cessation training programs health consequences of continued tobacco use, and create an overall healthier work environment for union employees. Counties participating in youth prevention and As unions have traditionally opposed smoke-free policies cessation training programs and ordinances, this project is accelerating the process of Prior to Statewide Grant de-normalizing tobacco use among workers and will assist State of the Art Cessation Training in promoting policies and ordinance that promote protection
TAP/TEG ONLY from secondhand smoke. Through April 2005 thousands of blue collar workers throughout Indiana have been reached TATU ONLY with information about various issues of tobacco use. A
TAP/TEG & TATU brochure and video were developed specifically for this pop-
TAP & TEG Trainings ulation that informs about the effects of tobacco use on
TATU Trainings retirement, including benefits of quitting and reducing exposure to secondhand smoke. The Carpenters project has also worked with union leadership to change health plans regarding tobacco use. A cost analysis on tobacco-related illnesses and benefits of cessation coverage has been presented to union trustees in order to promote a policy change as a valuable tool Conner Prairie Living History Museum: Conner Prairie seeks for any labor and management team and can help influence to provide historical context for understanding tobacco prevention policy change in all worksites. in Indiana and apply this perspective to a discussion on current attitudes and behavior regarding tobacco use. Through this Moving in the Spirit, Inc.: Through September 2004, Moving program, Tobacco: A Poisonous Practice, Conner Prairie in the Spirit Ministries coordinated Project F.A.I.T.H. (Faith- generates discussion of the social and cultural attitudes Communities Addressing Issues of Tobacco and Health), a toward tobacco in the 19th century, engaging characters comprehensive plan for tobacco control within the faith- from 1836 Prairietown (Horace Palmerston) and 1886 Liberty based communities all over the state. With the understanding Corner (Benjamin Lloyd McIntyre and Theodora Heath Louden) that the church is often a community or neighborhood's most who represent the anti-tobacco movement in America. In valuable resource when seeking refuge and support, the Project addition to the programming at the museum, Conner Prairie F.A.I.T.H. initiative built on that infrastructure and enhanced presents a distance learning version of the program with the faith-based initiatives of churches throughout the state supplementary education materials for teachers. Conner Prairie to include tobacco prevention and cessation programs. Project was the recipient of the 2003 Award for Innovative F.A.I.T.H. has four major components: (1) to identify and train Programming from the Indiana Public Health Association for current church program staff in effective program strategies this project. for tobacco prevention and education; (2) to identify and train church health professionals in the provision of cessation Indiana Regional Council of Carpenters: The Indiana services (Inspire Program); (3) to bring the message of tobacco Carpenters Union’s overall goal is to change the cultural cessation and prevention to churches through a variety of acceptability of smoking and tobacco use by blue collar events offered in conjunction with Sunday worship service; Hoosiers, specifically those in organized labor. An education (4) to increase cross-denominational, faith-based alliances and awareness campaign was implemented with union to advocate for tobacco free policies in churches and leadership in all labor segments to include anti-smoking communities throughout the state. Moving in the Spirit
85 Looking Forward
s Ministries held 18 trainings in cities all over the state, such Figure 10: VOICE hub regions m as in Gary, Fort Wayne, Richmond, Kokomo, Lafayette, a r Indianapolis, Evansville, South Bend, Jeffersonville, g o New Albany, and Terre Haute. r P y t
i Purdue University-School of Nursing: A Tobacco User's n
u Cessation Helpline (TOUCH) program for Purdue University
m students, faculty and staff was conducted through December m 2004. Participants receive one or more of the interventions o
C found to be effective with the college population. Response to the helpline was limited as many were not ready to quit smoking. Other methods of outreach were tested with these populations, such as email and instant messaging. This project was valuable in gathering qualitative data on what methods are viable in the university setting. Research team members also provided tobacco use prevention/cessation to student groups living in residence halls, fraternities and sororities and through university news sources. Overall, the program received positive coverage in the student newspaper and many were well aware of the project and referred a friend to the TOUCH helpline. Five regional VOICE Hubs, representing 54 partners were VOICE Hubs established in SFY 2005. Each hub provides continual The regional VOICE Hubs were set up to provide leadership technical assistance for local adults and youth on youth for a regionalized, ongoing training and capacity building advocacy and how to build and sustain their local VOICE network for communities that will sustain the momentum movements. The hubs also provide structure for a regionalized, of the VOICE movement at the grassroots level which will ongoing training and capacity building network, which will ultimately result in a successful statewide movement. This sustain the momentum of the VOICE movement at the project strengthens existing communication, marketing and grassroots level and ultimately result in a successful statewide networking resources. VOICE movement. Every hub has implemented at least two capacity building sessions for both VOICE adult allies and VOICE youth through the assistance of the Indiana Teen Institute. The hubs strengthen existing communication, marketing and networking systems through earned media, resource development, and weekly contact with all partners. The Northeast VOICE Hub will be fully functioning by the end of 2005. 2004-2005 ANNUAL REPORT
Training Workshops had a very touching, informal session with special guest, The VOICE Hubs conducted Adults as Allies, Media Literacy Rick Stoddard. The rest of the evening was packed with and Advocacy, and Leadership Intensive Training for a total karaoke and door prize give-aways. of 258 youth and 120 adults. The concept of the hubs allowed for standardized, consistent training to the youth and adults. • Clinton County held an event called Operation ITI provided the following capacity building sessions: Adults Information last fall. It was an event where high school as Allies (Northwest, West Central, East Central, Southeast, students at Rossville posted flyers and left notes in Southwest Regions), Leadership Intensive (West Central, restrooms about the dangers of tobacco. East Central, Southwest, Southeast Regions), Media Literacy and Advocacy (East Central Region) and Creativity (East East Central VOICE Hub-Indiana Teen Institute: ITI is Central Region). implementing a youth empowerment project to mobilize and galvanize youth tobacco prevention efforts statewide. ITI is West Central VOICE Hub-Montgomery County AHEAD Coalition: building on the momentum of the youth movement, VOICE, In the West Central VOICE Hub, 88 youth and 33 adults were by linking these messages to the ITI Summer Conferences as trained through a variety of Capacity Building sessions well as working to coordinate the VOICE efforts of ITPC partners on Adults as Allies, Leadership Intensive, Creativity, and in the East Central Region of Indiana. Through ITI training Sustainability. Throughout the year, 1000 youth were involved opportunities and outreach by participants of its programming, in local VOICE efforts and over 550 youth were involved in ITI has reached over 87,000 youth and adults. ITI continually planning VOICE events for nearly 13,000 youth in the West focuses their efforts on training youth empowerment Central counties. techniques to youth advocates, adult allies, community representatives, parents and key stakeholders throughout VOICE Initiatives from West Central Hub Indiana. Their website www.ITIAdventure.com is also a • In December of 2004, Montgomery County VOICE saturated valuable tool. the county with the number 858. The VOICE Crew had hats, magnets, candies, and signs made with 858 printed In the summer of 2004, 447 youth and adults from 30 counties on them. After several weeks, flash mobs, and a parade, participated in one of the two Summer Conferences offered the crew invited the community and the press to a press by ITI. conference in the park where they had a memorial and discussion about the 858 tobacco related deaths per As a Hub Coordinator for the East Central VOICE Hub, ITI has month in Indiana. trained 92 youth and 38 adults through capacity building sessions on Adults as Allies, Youth Leadership Intensive, and • Parke County VOICE held a “Camouflage Coffee House Media Literacy and Advocacy. Over 1900 youth were involved to Combat Big tobacco” late in 2004. All three school in local VOICE efforts and over 200 youth were involved in planning corporations came together and worked toward this events for over 6,100 youth in the East Central counties. project. Their theme was camouflage to combat Big Tobacco so their stage was set up with trees and camo. They used a huge garage type setting with café tables, a coffee bar, and pool tables, air hockey, a music room, and a big screen TV (which aired several VOICE commercials), etc. Each of the 3 VOICE groups performed a skit or conducted an activity with the group. They also
87 Looking Forward
s VOICE Initiatives from East Central VOICE Hub VOICE Initiatives from Southeast VOICE Hub: m • The Marion County group sponsored a VOICE event • In Decatur County, VOICE youth arranged to place 28 a r at Great Times, an indoor amusement venue, with pair of basketball shoes on top of a low set of bleachers g o the goal of educating youth on why tobacco companies at the west end of the gym during a JV and Varsity r
P spend over $700,000 an hour trying to convince people basketball game. This activity generated a lot of talk y t
i that smoking is fun and exciting. VOICE members led among the audience. At half time of the Varsity game, n
u four separate small groups on the following topics: a VOICE student made an announcement over the
m Understanding Secondhand Smoke, Education of the speaker system stating that "every day in Indiana 28 m Physical and Health Effects of Tobacco, Becoming people die from tobacco related diseases and that o
C Media Sharp, and Understanding the VOICE Movement. would be like wiping out an entire basketball team. Think about it!" The crowd was really listening and • Madison County minority youth sponsored a Smokefree applauded enthusiastically. Basketball Game. The youth generated flyers, banners, posters and PSA's to inform attendees about the dangers • In Clark County, Jeffersonville High School VOICE of secondhand smoke. As a result, the Anderson Police students circulated a petition called "Voice Your Department expressed an interested in joining future Opinion", collecting signatures of students who were efforts of the Madison County youth tobacco-free initiatives. being exposed to secondhand smoke in the girls' bathrooms. The petition later included the boys' • Madison County middle and high school VOICE youth bathroom. The School Superintendent confiscated teamed up with Madison County Youth Leadership the petition for review in a friendly manner and then Academy to celebrate "Kick Butts Day". In the month returned the document. As a result, three days later prior to KBD, youth distributed over 2000 bracelets and a staff person was designated to check purses as t-shirts with the number "1200" on them, hung 1200 students entered the girls' bathroom, that was posters within their schools and community businesses, notoriously known to be a popular smoking area. and some local papers had advertisements with "1200 x 365 = 438,000". On Saturday, April 16th at the Youth Southwest VOICE Hub-Smokefree Communities/University of Leadership Academy Battle of the Bands, the reason Evansville: In the Southwest VOICE Hub, 15 youth were trained behind this number was revealed, 1200 people die through a Leadership Intensive Capacity Building session. EVERY DAY from Tobacco use in the United States. In nine months, 200 youth were involved in local VOICE efforts and over 10 youth were involved in planning VOICE Southeast VOICE Hub-YMCA of Southern Indiana: In the events for nearly 300 youth in the Southwest counties. Southeast VOICE Hub, 63 youth and 30 adults were trained through a variety of Capacity Building sessions on Adults VOICE Initiatives from Southwest VOICE Hub: as Allies and Leadership Intensive. In nine months, 350 • In Gibson County, Youth Leader, Rev. Neil Moody, and youth were involved in local VOICE efforts and over 95 youth the Gibson County Youth Alliance (VOICE), planned and were involved in planning VOICE events for nearly 400 youth sponsored a faith-based community health awareness in the Southeast counties. and outreach event called “MAYhem 2005”. This event took place on Saturday, May 21st from 2:00-6:00 pm in Princeton at Lafayette Park. Gibson’s local VOICE youth
88 2004-2005 ANNUAL REPORT
had a booth at this event along with other community their “Candle Ceremony” and silently lit one candle every sponsored booths, various bands, tobacco & faith-based 28 minutes in remembrance of the 28 people who die every skits/messages, games, drawings and giveaways going day in Indiana from tobacco. on throughout the event. The park was smoke-free for the day and 450-500 people were in attendance. In data from the Indiana Youth Tobacco Survey, the proportion of youth who reported participating in community activities • In Vanderburgh and Warrick counties, youth combined their increased between 2000 and 2004. The community participation efforts for GASO by collecting shoes to represent lives levels among current youth smokers have also increased. lost due to tobacco. Over 400 pairs of shoes were collected in a 3 week period from various locations Chart 43: Participation in community activities, 2000-2004
such as consignment shops, rummage sales, family 25% Never Smoker and friends, church organizations and school drop-boxes. Current Smoker 23.4% North High School used its P.A. system to make 20% 23.3% announcements about the project and to give tobacco facts. The shoes were displayed at 3 sites in Evansville to 15% bring awareness to the community and all TV media 19.3% 16.0% 18.7%
covered the event as well as an article in the Evansville 14.9% Courier. The shoes were then donated to a local charity. 10%
8.3% 12.2%
Northwest VOICE Hub-Geminus Corporation: In the Northwest 5% VOICE Hub, 19 adults were trained through an Adults as Allies Capacity Building session. In 6 months, 900 youth were 0% involved in local VOICE efforts and over 90 youth were involved 2000 2004 2000 2004 Middle School High School in planning VOICE events for nearly 700 youth in the west central counties. More details about how VOICE is getting their message out in Indiana see the Public Education Campaign section. VOICE Initiatives from Northwest VOICE Hub: • Porter County and Lake County VOICE youth reached over School and Community Speakers 75,000 people at the Popcorn Festival by conducting street marketing throughout the festival to spread the Rick Stoddard message about the harmful effects of tobacco and how Rick Stoddard and his story about losing his wife to smoking youth are targeted by the tobacco industry. VOICE youth diseases when she was only 46 years old is featured in some made vendor boxes of “Cancer Corn” with cigarette of the ads in the media campaign. ITPC has expanded efforts butts and printed menus that read: “Try snacking on to reach Hoosiers, and particularly young Hoosiers, through these ingredients” and then listed a bunch of cigarette sponsored speakers during school convocations, community chemical ingredients. town hall meetings, community events and local media. Rick delivers a compelling "no-lecture" message as he tells the story • Fulton County VOICE youth held a legislative breakfast of his wife Marie and her death due to smoking. His message for local officials at which 75 youth communicated what is particularly effective in the rural area of Indiana that is often VOICE is and why reducing tobacco use among youth difficult to penetrate through traditional media avenues. should be a priority of policy makers. VOICE youth performed
89 Looking Forward
s Since 2002, Mr. Stoddard has personally spoken to approximate- In SFY 2005, the following schools have received m ly 300,000-350,000 Hoosier youth in 76 Indiana counties. the Gary Sandifur Award: a Blackford County Schools r Rick reached youth in 24 counties in Spring 2005 with 8 g North Lawrence Community Schools o counties with schools seeing Rick for the first time. r Northern Community Schools-Tipton County
P North Harrison Community Schools y t Figure 11: Counties receiving school presentations Western School Corporation i
n by Rick Stoddard; School Years 2002-2005 Tippecanoe Valley School Corporation u Salem Community Schools m Mooresville Consolidated Schools m Brown County Schools o
C Fayette County School Corporation 2002 Spencer-Owen Community Schools Nineveh-Hensley-Jackson United 2003 Edinburgh Community School Corporation
2004 Clark Pleasant Community School Corporation South Madison Community Schools
2005 Elwood School Corporation Lanesville School Corporation South Putnam Community School Corporation North Putnam Community School Corporation South Harrison Community School Corporation
Nationally Recognized Speakers ITPC and its network of local partnerships regularly bring nationally recognized speakers to Indiana's local communities as part of the overall public awareness campaign to understand tobacco's role as the leading cause of Hoosier deaths. Indiana Seventy-six (76) of Indiana’s 92 counties have had Rick Stoddard speak has been fortunate to learn from these and numerous other to youth between 2002-2005131 . experts in the field of tobacco prevention and cessation this past year. In 2004-2005 these speakers have included Lorene Sandifur individuals such as: Lorene Sandifur continued her aggressive speaking tour in • Rick Stoddard, known for his commercials about his wife’s memory of her husband Gary, who died at age 51 from lung death due to tobacco use cancer and brain tumors caused by smoking. Lorene's powerful • Donna Warner, Director of Planning and Program message about the pain and suffering caused by tobacco Development for the Massachusetts Tobacco Control Program, use was delivered live to hundreds of people throughout cessation expert Indiana-in schools, community meetings and at numerous • Aaron Doeppers, Midwest Regional Advocacy Representative, events. Lorene's compelling message was also a key part of Campaign for Tobacco Free Kids, advocacy expert ITPC's paid media schedule, reaching many thousands of • The Honorable Charleta Tavares, City-County Councilor, Hoosiers this past year. In 2004, she launched the Gary Sandifur Columbus, OH, policy expert Tobacco Free School Award at the ITPC Partner Information • Bronson Frick, Americans for Non-Smoker’s Rights, X-change. policy advocacy expert
131 Date illustrated by county is the most recent visit by Rick Stoddard • Kwesi (Ronald) Harris, National African American Tobacco Prevention Network, community organizer • Bishop S.C. Carthen, Board Member, National African American Tobacco Education Netword, faith-based activist • Madeleine Solomon, TTAC Consultant 90 2004-2005 ANNUAL REPORT
Training ITPC conducts a comprehensive training plan for staff, board, • Partner organization with the state addictions and partners, that includes mandatory training sessions, conference, Many Voices One Vision. elective training topics, an annual information-sharing event, • State-of-the-Art Cessation Training: ITPC sponsored the bimonthly conference calls, cluster meetings, and numerous Clarian Tobacco Control Centers’ State-of-the-Art communication tools. ITPC is committed to providing its Cessation Training for healthcare providers. The training partners with training needed to implement their local was provided as a pre-conference elective at the Indiana tobacco control programs by adapting content and material Public Health Association Meeting in Bloomington, IN, to meet experience level of the communities. These training and the Indiana Rural Health Association Annual methods allows ITPC to disseminate the latest evidence Meeting in French Lick, IN. This training was for office- based research and applications in tobacco control. Training based personnel, such as dental hygienists, nurses, highlights include: nurse practitioners, physicians, physician assistants, • System of “cluster” meetings for the partners, dividing and those professionals who come in contact with counties into 4-5 counties per cluster. The ITPC Regional tobacco users in a healthcare provider setting. Directors customize and conduct the cluster meetings at • More than 500 local and state training activities were least quarterly with input from the partners. recorded for SFY 2005. • Comprehensive conference call/technical assistance • Indiana has partnered with the national Tobacco structure for all partners that include national, regional Technical Assistance Corsortium (TTAC) and the and local presenters as well as an opportunity for regular Advocacy Institute (AI) to serve as a national pilot site information sharing and problem solving among partners. for an in-residence leadership development and capacity • Monthly e-newsletter for its partners to highlight local building program for tobacco control professionals, activities, share new tobacco control resources, and keep volunteers, and grassroots activists. A total of 12 them up to date on future events. individuals completed the extensive training that • Regional training workshops and elective trainings work- concluded in SFY 2005. Individuals represented the shops are continually offered to meet the needs of the following counties: Allen, Delaware, Madison, Marion, partners. See Figure 12: ITPC SFY 2005 Training Calendar. Sullivan, St. Joseph and Tippecanoe.
Figure 12: ITPC SFY 2005 Training Calendar July August September October November December January February March April May June Central West Advocacy Conference Calls State-of-the-Art VOICE Summit, VOICE Summit, Conference Calls Southwest VOICE RFA Regional Central West National State-of-the-Art VOICE Hub-Adults Institute Final 21-22 Tobacco Jeffersonville, IN Indianapolis 4 18-19 Hub – Adults as Meeting, Corydon Hub- Conference on Cessation as Allies, Meeting, Cessation: 2 Allies, 15 Sustainability, Tobacco or Training, French Montgomery Indianapolis MAPHTC Servicing the Regional Training, Southeast VOICE Vanderburgh Montgomery Health, Chicago Lick 7 County 7 23-24 Community African American Southeast VOICE Tipton, IN 8 Hub – Adults as County 22 RFA Regional County 16 4-6 Organization Community, Hub-Adults as Allies, Scott Meeting, ITI Summer Training, Martin University, Allies, Clark County 26 New Coordinator Indianapolis 16 Central East Hub- State-of-the-Art Conference, Indianapolis 23 Indianapolis 1 County 3 Orientation/ Create, Tipton, IN Cessation Vincennes, IN Central East and Tobacco 101 RFA Regional 16 Training, 18-23 Midwest Academy Conference Central West 23 Meeting, Peru 17 Bloomington 18 Secondhand Calls 9-10 VOICE Hubs– Southeast and Smoke Training, Media Literacy Tobacco Southwest Indianapolis 5-6 Central East and Advocacy, Awareness Leadership VOICE Hub- Indianapolis 29 Program/ Intensive, Clark Central East Leadership Tobacco County 22-23 VOICE Hub-Adults Intensive, Education Group as Allies, Hamilton Hamilton County (TAP/TEG) County 12 20 21-22 Indianapolis Central West VOICE Hub- Create, Montgomery County 30 Looking Forward
dangers of tobacco use, secondhand smoke and tobacco n Statewide Public Education Campaign g i industry marketing practices. The campaign is working a p Purpose to change the social norms and acceptability of tobacco m use in Indiana. Every county in the state continued to be a Indiana’s statewide public education campaign is a combination
C of paid and earned media messages designed to counter reached by the statewide campaign. n
o pro-tobacco influences and increase pro-health messages i t Indiana’s public awareness and media campaign provides a and influences throughout the state. Counter-marketing c critical support for all components of the Hoosier Model. u consists of a wide range of efforts, including paid television, d ITPC and MZD Advertising, along with partners Promotus
E radio, billboard, and print counter-advertising at the state
c and local level; ethnic marketing; media advocacy and other Advertising and Bingle Research, produced effective, i l b public relations techniques using such tactics as news award-winning campaigns that have high recall by Hoosiers. u
P releases, news conferences, media outreach, media tours, e editorial materials, featured stories, local events, and health ITPC Campaign d i promotion activities; and efforts to reduce or replace tobacco Educating Hoosiers on the risks associated with secondhand w e smoke continues to be a primary goal of the media campaign. t industry sponsorship and promotions. Counter-marketing a t activities can promote smoking cessation and decrease the Extending the “Right to Breathe” multimedia campaign, S likelihood of initiation. They also can have a powerful influence originally launched in the spring of 2004, ITPC maintained on public support for tobacco control interventions and set the messaging that everyone has the right to breathe smoke a supportive climate for school and community efforts. free air. In conjunction with “Right to Breathe”, a campaign called “Breathing Room” was developed targeting African The power of media and marketing to influence behavior Americans and Latinos. Those ads were produced in English and drive demand for products and services is well known. and Spanish. According to the 2003 Report from the Federal Trade Commission (FTC), the tobacco industry spent $15.15 billion As evident in the results of ITPC’s continued research, on advertising, over $475 million in Indiana. The tobacco the attitude persists among Indiana residents that while industry expenditures on advertising and marketing in 2003 secondhand smoke is harmful, a “little bit” of secondhand increased 21.5% from the previous year. By comparison, smoke is not. Hence, the next campaign, launched in April the tobacco companies are spending 44 times what of 2005, highlighted this misconception. The “Expert Does” Indiana spends in tobacco prevention. Counter-marketing television commercial addressed the damage that second- and public relations campaigns can break through the hand smoke begins to cause in as little as seven minutes. industry’s clutter and communicate the truth about tobacco Set in a medical laboratory, the viewer hears this information and the industry’s deceptive marketing practices. from a reputable doctor as graphics of the heart and lungs are woven in with interviews with the doctor. Supplemental Indiana’s Efforts ads for the radio (“What It Does”, “Little Bit”) and outdoor ITPC ‘s budget for all media expenditures for SFY 2005 was billboards continued in this frame of mind. $3.5 million. The public education campaign targets both Indiana general population adults and youth, along with In addition to the launch of the “Expert Does” campaign, specific segments of minorities and pregnant women. The ITPC ran a targeted ad focusing on the business community aim of the campaign is to educate the public about the and the health concerns employers face. The high cost of health
92 2004-2005 ANNUAL REPORT
insurance and the health issues related to employees who smoke are topics that cannot be ignored by management. The newspaper campaign elevated these issues and discussed the resources available in Indiana for employers to help lower their smoking-related expenses. Watching the Media
Identifying the need to help Hoosiers recognize the harms of working in a smoky environment, ITPC reached out to national comedian René Indiana Legislators Awed by “Candle Ceremony” Hicks, whose comedy sketches now include bits related to the harms of smoking. Although she has never smoked, Ms. Hicks spent years Fulton County VOICE met with Indiana legislators at a legislative working in the smoky dwellings of comedy clubs throughout the nation. breakfast and performed their “Candle Ceremony.” They silently lit one Ms. Hicks believes her presence in a harmful work environment is candle every 28 minutes in remembrance of the 28 people who die every responsible for her developing lung cancer. As she fights the cancer, day in Indiana from tobacco-related illnesses. Their demonstration was she has reached out in her comedy routine to alert patrons to similar recognized with a round of applause. risks they may be taking with their own lives. A documentary along with television and radio commercials (titled “This Is Real” and “It’s Real,” respectively) were produced to take her message to the masses Porter County VOICE Distributes “Cancer Corn” beginning in June of 2005. Already successful in Indiana, other states have requested to use this campaign in their tobacco control efforts. Porter Co. VOICE applied their aggressive tobacco education street marketing tactics at another big area event, the Popcorn Festival. They WhiteLies.tv decided to go around the Fest and pretend to sell popcorn, but in the www.WhiteLies.tv has proven to be effective in spreading the messages popcorn bags was not just popcorn but nasty cigarette butts and packages. that young people are targeted by tobacco companies, secondhand Using vendor boxes like those at baseball games and wearing vendor smoke kills and Hoosier adults can get help to quit smoking. Hoosiers hats they sold ‘Cancer Corn’ with selling points such as, ‘Only costs a continue to log onto www.WhiteLies.tv to get information on How to Quit lung!” and ‘One-third of the people who eat it will die!’, and ‘Get your smoking and to learn more about the dangers of tobacco. icky, sticky cancer corn!’
A smoke free workplace message was reinforced with visitors to www.WhiteLies.tv through a home page icon reading “Secondhand Bartholomew County VOICE smoke is no joke. It almost killed this comedian.” The button led viewers Visits “Cigarette Graveyard” to a segment of Ms. Hicks’ documentary, produced by Promotus Advertising. The WhiteLies.tv website continued to be a valuable resource Bartholomew County VOICE sent a message to their peers at local as visitors learned how to protect themselves from secondhand smoke, middle schools and high schools on Kick Butts Day. Through a “cigarette access the on-line dining guide to find smoke free dining establishments graveyard,” wristbands and posters, the group tried to make students or request cessation assistance, among other topics. These sections and the community aware of tobacco’s health hazards and encourage combined represent the key areas of interest for the over 6 million hits them to quit. representing 261,000 visitors to the www.WhiteLies.tv site since its inception. In SFY 2005, the site had nearly 2 million hits representing 70,000 visitors.
93 Looking Forward
Breathing Room- Indiana’s Secondhand Smoke Challenge VOICE Hubs n g i Supplementing the statewide media campaign, the Local community-based and minority-based partners welcomed a p “Breathing Room” promotion offered Hoosiers a way to the new hub system for the movement as a way to strengthen m voluntarily show their support for a smoke-free Indiana. the visibility and impact of VOICE. Through this hub formation, a
C Billed as Indiana’s Secondhand Smoke Challenge when it local activities supplemented larger statewide events to n began in the summer of 2004, the challenge has attracted provide an on-going flow of action and improved communication. o i t more than 4,000 participants through June 2005 and Partners often spread the word about VOICE and local events a c reached more than 40,000 Hoosiers. Based on the number through the media, taking advantage of school newspaper u d of pledges submitted, the successful ten percent response ads, yearbooks ads, radio commercials, banners and E
c rate is higher than the industry average of two percent for t-shirt designs. i l
b this type of direct mail promotions. The simplicity of and u interest in the promotion prompted ITPC to continue its use Regional Summits P
e through the 2005 summer fair and festival season. Living in a tobacco-free Indiana was exactly what members d i of the West Central hub had in mind when they joined forces w e Patrons could select one of four pledges: with numerous other local partners for the first VOICE t a
t • Show their support for smoke free restaurants Regional Event. More than 250 youth and adults converged S • Make their homes smoke free in July 2004 at Holiday World in southern Indiana to thank • Not smoke in their cars the fun park for instituting a smoke-free policy. The regional • Request information on quitting smoking emphasis of the hub system was reinforced in November 2004 with the introduction of regional VOICE summits, held The promotion provided local community-based partners an in Jeffersonville and Indianapolis. The day-long summits opportunity to follow up with the persons committing to the provided 150 attendees with an engaging and educational pledge in their community. These efforts were stretched further look at youth activism and how VOICE makes an impact. to reach pregnant women and young mothers through WIC Mixed with time to brainstorm and meet other youth in their (Women, Infants, and Children) offices throughout the state. area, training sessions ranged from “Law & Order” to Due of the state’s high rate of women who smoke while “Tobacco 101.” Youth were charged with returning to their pregnant, the WIC offices were an ideal point of contact to communities and implementing their new ideas on how to reach pregnant smokers who visited the offices for prenatal compact the tobacco companies’ marketing tactics. or postnatal care. Youth Advisory Board (YAB) VOICE One follow up activity to the summits occurred with members VOICE is Indiana’s youth-led movement against tobacco of the VOICE Youth Advisory Board (YAB). YAB members, use. As the tobacco companies continued to market their representing a cross-section of the state, gathered in products to teenagers and young adults, the need persisted Indianapolis in May 2005 to collect signatures in support of to maintain VOICE, Indiana’s youth-led movement against the proposed smoking ordinance for Marion County. Members the deceitful marketing of their deadly products. The movement presented their petitions – 273 signatures collected in less continued to grow in its audience as more and more teens than one hour – to Council President Steve Talley during a heard of VOICE and what its supporters were doing in middle lunchtime press conference. schools and high schools across the state.
94 2004-2005 ANNUAL REPORT
The Youth Advisory Board (YAB) continued its integral role in their families from secondhand smoke, register for the VOICE movement. The board, comprised of roughly 30 the Breathing Room pledge or discover cessation resources in high school students from throughout Indiana, met three times their community. throughout the year via conference calls or daylong meetings. During these meetings, the YAB served as a review board for An important supplement to the activities of the YAB and new creative materials, assisted in developing statewide local partners are the partnerships of VOICE. One continuing events, and offered feedback on community news and activities. relationship is the connection with DECA, a national One exciting outcome of the YAB meetings was the development marketing association for high school students. VOICE of a VOICE video and soundtrack. Footage captured the diversity was once again a sponsor of DECA’s statewide convention of VOICE youth and the array of activities that include the and for the first time sponsored a new category, the Print VOICE message. The YAB speaks to adults and youth in their Media competition. The purpose of the competition was to local communities and serve as media spokespersons for encourage development of the students’ understanding of ITPC. Since October 2004, approximately 110 news clips advertising and promotional principles. Entered selections were have been generated by state and local VOICE efforts. considered for use in a future VOICE campaign. The winning design will be produced as a palm card and distributed during Find out more about VOICE youth and their impact around VOICE events. the state in the Community Program section. Another relationship that strengthens over time is the Partnering with our Message through Events connection with Rick Stoddard. His impact on students through Well-aligned partnerships throughout the state allowed ITPC his speeches and personal appearances is immeasurable. to promote its WhiteLies.tv and VOICE brands to the fullest Stories submitted to his on-line journal at www.VOICE.tv extent by combining a grassroots approach with existing from both him and from those who attend his convocations events. The partnership between ITPC and the Indiana State are truly touching. Traffic to the VOICE website increases in Fair has blossomed to become one of the largest grassroots relation to his school visits as students log on to learn more efforts to educate Hoosiers about the dangers of tobacco about VOICE and why he supports the movement. Visitors to use. Over the 12-day event in August, ITPC partners were the site are better able to get involved locally as a result able to reach hundreds of thousands of fairgoers with the of several updates to the site, including a statewide map message of WhiteLies.tv, including the dangers of secondhand with local event details and contact information. Currently, smoke and cessation resources. In addition, the third annual over 2.2 million hits have been logged by 76,000 visitors Tobacco Free Day on August 17, 2004, was a huge success, since its launch in May 2002. In SFY 2005, 1 million hits have due in part to the VOICE Xtreme Air Show. Patrons were occurred by 29,000 visitors! encouraged to visit www.VOICE.tv for event information and to download a free voucher to the day’s VOICE Xtreme Air Ethnic Marketing Show featuring Tony Hawk. To showcase the VOICE message, ITPC realizes the importance of specifically reaching out to over 75 VOICE youth were in attendance to hand out VOICE the African American and Latino communities due to the gear and vouchers for the Tony Hawk show. The air show fact that these groups are targeted more heavily by tobacco maintained its momentum from 2003 and assisted in the companies to use their products. The belief is that by educating record-setting attendance again for the Fair. When fairgoers these targeted groups there will be a significant shift in the were not engaged in the air show, they could visit the social acceptance of tobacco use and in the tolerance of WhiteLies.tv booth for information on how to protect tobacco company tactics. The continuing pressure from the
95 Looking Forward
tobacco companies on the African American and Latino tobacco prevention message was reinforced to the more n g i communities fuels the need to maintain a united counter- than 300,000 attendees during IBE’s 34th annual a p marketing effort in Indiana. Promotus Advertising and its Summer Celebration, July 15-18, 2004. Highlights from the m street marketing crew supported ITPC’s efforts through a week included: a
C varied grassroots approach that reached thousands of • More than 40,000 people attended the WhiteLies.tv n Hoosiers throughout the year. With events ranging from Music Heritage Festival II for an evening of free o i t Fiesta Indianapolis and Circle City Classic to the Radio One music outdoors. a c Women’s Empowerment and Enrichment Expo and Red Ribbon • Exposition Hall visitors received tobacco prevention u d Back to School Rally, ITPC’s support impacted those who materials and registered for the “Not In Mamma’s E
c heard its tobacco prevention message. House” smoke free pledge. i l
b • Minority Health Fair visitors participated in a breathing u During the Radio One Women’s Expo – the largest exposition test which tested their lung capacity with the use of P
e in Indiana targeted to African American women – ITPC partnered peak flow meters and received cessation information. d i with Indiana Black Expo to promote IBE’s tobacco control • Teens attracted to the youth activities, such as the w e program, Commit 2 Quit, to the over 5,000 attendees. “Saving Our Youth” Celebrity Basketball Game, were t a
t Operation Rescue, a Great American Smokeout collaboration exposed to the VOICE message through counter-marketing S between the American Cancer Society, ITPC and Smoke Free tactics, including receiving bags of candy with tobacco- Indy, encouraged smokers to take advantage of local cessation related statistics attached. resources. Taking an unconventional approach to reaching • More than 2,000 attendees received WhiteLies.tv church smokers before they made their New Year’s Resolutions, fans during the “A Celebration of Praise Church ITPC launched a Smoke Free Holiday CD in conjunction with Service” at the RCA Dome. a local urban radio station in December 2004. • WhiteLies.tv tobacco prevention messages were consistent throughout other events like the Tom Joyner Additional efforts to join forces with local minority-based Morning Sky Show, smoke free night at the UniverSoul partners resulted in events such as the Delaware County Circus and Gospel Music Explosion. Minority Health Coalition’s “Health Summit 2004: Our Future Won’t Go Up in Smoke”. Keynote speaker Kwesi Ronald Harris, In addition to the grassroots marketing, Promotus’ efforts who recently worked with the Illinois Attorney General to were supplemented by the 2005 media campaign featuring successfully stop the Kool Mixx advertising campaigns nationally-known comedian Rene’ Hicks. As evident in the targeting African-American youth, addressed the crowd commercials, her life will forever be touched by tobacco during this day-long exchange. Youth driven events, like the use. She uses her platform as a comedian to connect with Jermaine O’Neal Super Shootout and the Circle City Classic her audience and provide that human connection between Challenge of Champions basketball tournament, offered an tobacco use and its dangerous health effects on others. She opportunity to reach urban youth with the VOICE message. continued to share her message on the dangers of secondhand smoke through various promotional events with community- The partnership between ITPC and the Indiana Black Expo based and minority-based partners during the year. (IBE) exemplifies the strong community support needed to combat the aggressive marketing of the tobacco companies within the African-American community. The WhiteLies.tv
96 2004-2005 ANNUAL REPORT
Media Advocacy A majority of the news stories was hard news. Of the remaining Indiana news media outlets continue to devote newsprint types of news items that are opinion pieces such as editorials and airtime to ITPC stories. In addition to stories pitched by and letter to the editor, 75% were anti-tobacco in message the media team and local partners, reporters and editors are in SFY 2005. The more frequent topics of news coverage seeking out ITPC staff members and grantees for other news were coalition partner activities, secondhand smoke, pieces related to tobacco use and prevention. Through statewide health consequences and cessation. (See Analysis of News efforts and assistance from coalitions at the local level, a Media in the Evaluation section for additional information.) renewed focus has been given to media advocacy; that is advancing toward public policy goals through the use of Findings earned media coverage. Unpaid media coverage about local Advertisement awareness is the first major step in an effective coalition activities and issues, especially surrounding smoke media campaign because the audience must be aware of free air policies continued to grow this year. ITPC's grassroots advertisements to be influenced by them. Findings from other programs are increasing awareness of the ills of tobacco use state and national campaigns suggest that advertisement and related health issues throughout Indiana. ITPC generated awareness increases anti-tobacco knowledge, attitudes, ten statewide news releases in SFY 2005 that can be and beliefs, leading to reductions in cigarette smoking. viewed at the ITPC website under “Press Releases” http://www.in.gov/itpc/news.asp. Stories told through the Results from the ITPC media tracking surveys conducted news media included: annually since 2001 indicate that the media campaign has • ITPC conducts Youth Tobacco Survey, notes had a positive influence on youth and adult knowledge, positive improvements. attitudes, and beliefs each year. • ITPC joins Indiana Rural Health Association to present R.I.S.E. Award, recognizing smoke free rural health facilities. Confirmed awareness of the ITPC ads has significantly • Air monitoring study supports smoke-free increased since 2002. However, there has been a slight, workplace policies. although non-significant decline between 2004 and 2005 • Indianapolis considers smoking ordinance. among overall awareness to the ads among adults. This can • Indiana improves its youth smoking rates. be attributed to the significant decline in awareness of • Teens educate peers on tobacco companies’ marketing a billboard or print ad, which declined from 25% in 2004 to during regional summits. 15% in 2005 among adults. The awareness of billboards • Bloomington bars join other city workplaces and among youth also declined significantly from 37% in 2004 become smoke-free. to 27% in 2005. However, overall awareness among youth • Teens attract new support in fight against Big Tobacco remained unchanged in 2005 (80%). Television ads remain through extreme athletic event at State Fair. the most recognized medium with seven out of ten adults • Teens show support of smoke-free venues during trip and youth (69%-adults, 71%-youth) confirming awareness to state’s first smoke-free amusement park. of a TV ad in 2005 compared to 2002 (30%-adults; 44%-youth).
Since May 2002, Indiana generated nearly 7,500 clips. With a substantial number of stories occurring at the local level, this demonstrates how the local coalitions are working with the news outlets in their communities to keep local tobacco control in the news.
97 Looking Forward
Chart 44: Awareness by Adults of at least one ITPC As a first step toward understanding tobacco-related n g i Advertisement by Medium, 2002-2005 issues and toward changing key attitudes and beliefs, these a p 100% results are on target with the goals established by ITPC. TV m Radio Billboard.Print And changes are already evident—those who were aware of a Any Medium 79%
C 80% 76% ITPC advertisements were consistently more likely to know 73% n 69% about tobacco dangers and to agree with anti-tobacco o 70% i 67%
t 60% 51% attitudes, both key to changing behaviors, reducing a c prevalence, and improving the lives of Hoosiers. The u 40% d 30% campaign messages coupled with the community efforts of
E 28% 25%
c 23% local and statewide youth serving organizations, prevention
i 20% l 15%
b and cessation programs, and VOICE will continue to change 16% 13% 10% 12% u social norms around tobacco use. We expect to see changes
P 0% 2002 2003 2004 2005
e in social norms around tobacco that can be attributed to d Seven out of ten Hoosier adults have seen an ITPC ad, a significant i the ITPC public education campaign as one part of the
w increase in confirmed awareness since 2002. However, this is a slight e comprehensive approach to tobacco prevention and cessation. t overall decrease from 2004 and a significant decrease in awareness of a
t billboard/print medium from 2004. S
Chart 45: Awareness by Youth of at least one ITPC Advertisement by Medium, 2002-2005
100% TV Radio Billboard.Print Any Medium 80% 80% 80% 66% 75% 71%
60% 67% 51% 44%
40%
36% 36% 37% 27% 20% 12% 18%
14% 15%
0% 2002 2003 2004 2005
Eight out of ten Hoosier youth have seen an ITPC ad, a significant increase in confirmed awareness since 2002. There was a significant decrease in awareness of billboard/print medium from 2004.
98 2004-2005 ANNUAL REPORT
99 Looking Forward
s Enforcement of Youth Access Laws w a L Purpose s s Enforcement of tobacco laws can deter violators and sends ATC is also responsible for conducting training for retail e c a message that community leaders believe these policies owners and clerks to prevent the sales of tobacco to minors. c
A are important for protecting Indiana’s youth. Youth access ATC has performed 544 retailer trainings reaching over h t laws give youth an environment in which tobacco is unacceptable. 12,000 people from July 2004 to June 2005. As part of these u o Youth who do not use tobacco products by the age of 19 are trainings and in other opportunities, ATC has produced and Y distributed written materials relating to the sale of tobacco f less likely to start later in life. Enforcement of Indiana’s o products to minors and Indiana’s tobacco laws. The ATC is
t tobacco laws deters youth from trying to obtain tobacco n products and retailers from illegally selling tobacco products out at various events with literature regarding the tobacco e
m to minors. laws, required signage and other items promoting the “ID e on Demand” message. ATC also is encouraging use of c r o Indiana’s Efforts the statewide toll free number to report retailers and vendors f n In SFY 2005, ITPC continued its Memorandum of Understanding who violate Indiana’s tobacco laws. Citizens who witness E (MOU) with the Indiana Alcohol and Tobacco Commission (ATC) illegal sales of tobacco products to minors can call 1-866- to investigate and enforce Indiana’s tobacco laws with an 2STOPEM. All calls are confidential. There was an increase annual budget of $500,000. in the number of calls in SFY 2005 to 54 calls, doubling from SFY 2004. More than half of those were from July to After more than four years of activity, enforcement of September 2004. Indiana’s tobacco laws has become a priority for the law enforcement community due to the efforts of ATC. The MOU Findings has continued to: The focus of ATC’s work is conducting random inspections • Provide additional 13 state excise officers of tobacco retailers throughout Indiana. The MOU with ITPC and one administrative support staff outlined a minimum of 375 tobacco retail inspections to be • Make resources available for training law enforcement performed each month. Focusing on the efforts in SFY 2005, officers on the investigation and enforcement of TRIP officers conducted 9,100 inspections of retail tobacco Indiana’s tobacco laws outlets, averaging over 750 inspections per month. TRIP • Allow ATC to contract with various local law enforcement activities have resulted in sales rates to youth enforcement agencies and/or officers to assist at an average of 14% for SFY 2005. Throughout SFY 2003 in enforcing those laws. to SFY 2005, the noncompliance rate of Indiana’s tobacco retailers consistently remained below 20%. The national Synar Throughout SFY 2005, 13 Tobacco Retailer Inspection Program study requires Indiana to have a noncompliance rate below (TRIP) officers were out in the field conducting inspections. 20% or risk losing millions of dollars for substance abuse In addition, Excise officers worked throughout the State treatment through the Division of Mental Health and Addiction. reporting tobacco law violations. Through the year at the Law Enforcement Academy over 400 law enforcement officers received tobacco laws training. This training includes review of all Indiana tobacco laws including signage, retail sales including implications to the clerk and establishment, possession by a minor and vending machines restrictions.
100 2004-2005 ANNUAL REPORT
Chart 45: Noncompliance Rate of Indiana Tobacco Retailers Inspected by TRIP, SFY 2005
18% Watching the Media 17% 17% 16% 16% 16%
14% 14% 14% 13% 13% 12% Smee’s Place, a smokefree bar & grill in Indianapolis, is featured in the 12% 11% 12% newest ads produced and placed as part of TobaccoScam, a national 11% 10% Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun campaign focused on educating the hospitality industry and policymakers about the benefits of smokefree workplace policies and exposing Big The average noncompliance rate from July 2003 to June 2004 was 13.9%. Tobacco’s attempts to scare and manipulate the hospitality industry by perpetuating myths and lies. From October 2001, through June 2005, TRIP officers conducted over 30,000 inspections of retail tobacco outlets. The annual noncompliance “Even though the state restaurant association was rate has decreased from 21% in SFY 2002 to 14% in SFY 2005. fighting a smoke-free measure in our county," Tim Smeehuyzen says, "I took my 160-seat Indianapolis Chart 46: Noncompliance Rate of Indiana Tobacco Retailers restaurant smoke free in 2004.” Inspected by TRIP, SFY 2002 to SFY 2005 25% “I had $8,000 worth of filter equipment going full blast, but these systems are costly to maintain and 21.2%
20% they’re useless against tobacco’s toxics.”
15.3% “Finally, I had enough. We’re closed on Sundays, so 15% 13.9% 12.7% we washed the place down and cleaned the carpets twice. We opened smoke-free that Monday and we’ve
10% done 10% more business ever since.” SFY 2002 SFY 2003 SFY 2004 SFY 2005
The annual noncompliance rate has declined since SFY 2002 and remained stable in SFY 2004-2005.
101 Looking Forward
s Beginning in May 2002, results of these inspections are w posted on the ATC website (www.in.gov/atc/isep/TriplOR.htm) a
L as a way to promote to the public those retailers who violate s s and those retailers who consistently comply with Indiana’s e c tobacco laws. c A h
t Difficulty in obtaining cigarettes may be a barrier to smok- u
o ing behavior encouraging some smokers to quit. If obtaining Y cigarettes is likely to involve the embarrassment of being f o asked for proof of age, and having to face possible legal t n consequences, it may simply be seen as not worth the e
m effort. It also sends a strong message that smoking by e youth is not acceptable. c r o f n In addition to the duties covered in the MOU, ATC has worked E with ITPC to conduct training for ITPC community-based and minority-based partners. Some ITPC community partners have included local enforcement of tobacco laws in their coalition’s plans and ATC is working closely with them to ensure the coalitions have proper training and resources to conduct these retailer compliance checks in their communities and to prosecute those noncompliant retailers through State and local systems.
102 2004-2005 ANNUAL REPORT
Seeing Clearly
Parke County VOICE opens “Cancer Store”
VOICE youth in Parke County are up and running with local street marketing tactics. The youth took over a downtown square storefront, renaming it the “Cancer Store,” placed an ad in the local paper referencing “New Store Opens on the Square — 50% off on everything!” – then dressed the storefront window with a coffin, stats and tobacco ingredients. The skeleton in the coffin wore a “Name Your Poison” t-shirt.
858 Campaign in Montgomery County
About 30 Montgomery County VOICE teenagers participated in a campaign to educate Montgomery County by putting ribbons on all the parking meters that read “858,” passing out “858” candy during a parade while holding a banner with the number. A few weeks later, the VOICE group held a press conference to discuss “858” and VOICE. “858” represents the number of Hoosiers who die each month from smoking.
103 Looking Forward
t Administration and Management and SFY 2005 came to a total of $27.5 million. During SFY n
e 2005, ITPC operated with a carryover of $7.4 million from m previous years. As the annual overall budget has been
e Purpose g Past experience in Indiana and from other states who conduct reduced from an average appropriation of $32.5 million to a n comprehensive tobacco control programs has shown that an $10.8 million, it has been increasingly difficult to stay with- a
M effective tobacco control program requires a strong manage- in the CDC’s recommendation to limit spending on d ment structure. Experience also shows the importance of Administration and Management to 5% of total budget n a having the entire program components coordinated and dollars. Insightful management has guided ITPC through n the budget reductions, keeping this expense at less than o working together. Administration of a comprehensive i t 5% of our total budget as recommended by the CDC and
a program involves coordination of multiple state agencies r t (e.g., health, education, and law enforcement) and levels maintaining the 26% administrative and management s i expense budget reduction proposed in SFY 2004. n of local government, as well as numerous health-related i
m voluntaries, coalitions, and community groups, program d ITPC currently has 11 employees and 9 vacant positions.
A management. Furthermore, coordinating and integrating major statewide programs, such as public education campaigns (See organizational chart). with local program efforts require adequate staffing and communication systems. State agencies need sufficient In order to manage the large number of grants ITPC contract administration staff to provide oversight of fiscal established a Memorandum of Understanding with the and program activities. Funding a large number of statewide State Board of Accounts (SBOA) to assist with the fiscal and local partners requires a well-designed request for monitoring of each grant. The SBOA conducts an onsite proposals and grant application processes, a well-managed review of each grantee with reports to be filed with ITPC. review system and hands-on project management. From July 1, 2004 to June 30, 2005, the SBOA completed 87 Administration and management activities include monitoring engagements. Most grant recipients have had the following: two monitoring engagements or more, the purpose of which • Recruiting and developing qualified and diverse is to review the tobacco grant documents. ITPC’s goal for technical, program, and administrative staff. the SBOA is to review all grant recipients’ documents for • Awarding and monitoring program contracts and compliance with contractual guidelines for the entire grants, coordinating implementation across program contract period and to conduct a final review upon the areas, and assessing program performance. conclusion of the grant cycle period. During SFY 2006 the • Creating an effective internal and external SBOA will conduct final monitoring engagements on most communication system. of the contracts in place as we wrap up the contracts • Developing a sound fiscal management system. beginning in 2002 ending on June 30, 2005. Those contracts • Providing support through training and were initially two year contracts which were renewed technical assistance. for an additional 18 months.
Indiana’s Efforts Through IC 4-12-4, ITPC was charged with coordinating ITPC is administering nearly 130 grants and contracts with tobacco prevention and control efforts throughout the an annual overall budget of $10.8 million. The CDC’s Best State. ITPC continues to work with many state agencies and Practices for Comprehensive Tobacco Control Programs organizations to efficiently provide services and to pool recommends that Indiana spend 5% of our total budget on resources to combat this huge problem in Indiana. administrative expenses. Indiana’s total budget for SFY 2004
104 2004-2005 ANNUAL REPORT
Seeing Further
From Cody at Northwood Middle School in Fort Wayne who released a balloon into the sky with the message “I’m not a smoker”, received this reply: “I found your busted balloon close to Mt. Vernon, Ohio….while I was bow hunting…A little bit about myself and my family. We are old order Amish… …I noticed something on the back like I’m not a smokier. I was thankful to hear that. Because we have scripture for not abusing out bodies. “If any man defile the temple of God, him shall God destroy, for the Temple of God is hold, which temple ye are.“
Local Newspaper Column helps Educate High School Students
Tobacco education in the news media goes above and beyond adult subscribers! Dave Bell of Tobacco-Free LaGrange County, who writes a regular column called “The Smoke Free Corner” in the LaGrange News, received this from a local high school teacher: “I read your article consistently... I love the knowledge and down-home attitude...I would like to request 20-40 back issues, or as many as you have written, to use in my health class...as our students have a weekly writing assignment. I love how your article has great knowledge throughout and then ends with a question. That question could be the writing theme for my students. If you would like, I could send [their responses] to you so you could see how that population perceives the information. I think that would benefit both you and me.”
105 Looking Forward
t Annual Budget e g d u Indiana Tobacco Use Prevention and Cessation Executive Board B l a
u Budget Item Fiscal Year % of FY04 to be paid Fiscal Year % of FY05 to be paid n 2004 Budget in FY 05 - 2005 Budget in FY 06 - n
A Encumbered Encumbered
* STATEWIDE MEDIA CAMPAIGN $5,353,114 22% $929,302 $3,500,000 33% $538,937
* ENFORCEMENT OF YOUTH ACCESS $750,000 3% $0 $500,000 5% $0
* COMMUNITY BASED PROGRAMS $15,061,375 62% $5,585,302 $4,071,523 39% $354,334 1. Local Community Based Partnerships $8,619,332 $2,643,200 $62,934 2. Minority Based Partnerships $4,244,637 $1,250,000 3. Statewide Regional & Pilot Grants $1,325,000 $0 $225,000 Training & Technical Assistance $512,406 $178,323 $66,400 4. VOICE Hubs $360,000 $0
* EVALUATION $1,960,059 8% $692,867 $1,300,000 12% $755,775
* ADMINISTRATION/MANAGEMENT $1,200,000 5% $179,083 $1,200,000 11% $0
TOTALS $24,324,548 100% $7,386,554 $10,571,523 100% $1,649,046
Budget for FY 2004 & 2005 Approved at the June 12, 2003 Executive Board Meeting, updated at Nov. 13, 2003 and Feb 19, 2004 Executive Board Meetings.
Fiscal year 2005 includes rollover dollars of $7.4 million. IC 4-12-4-10 states that dollars, including interest, in the Tobacco Prevention and Fiscal Year 2004 amounts include previously budgeted dollars, and encumbrances from FY 03.
Cessation Trust Fund do not revert to the General Fund or any other fund at the end of the fiscal year and remain available for use by the ITPC Executive Board.
The budget has not been approved for Fiscal Years 2006 or 2007. The amount available to be budgeted, will be $25.2 million, net of the 7% reserves, including a carryover of $5.0 million from Fiscal Year 2005. The 7% reserve was mandated on June 23, 2005, by order of the State Budget Agency. Reserves are not allocated to agencies, therefore they cannot be budgeted or expended until the reserve is released.
106 2004-2005 ANNUAL REPORT
Annual Financial Report
INDIANA TOBACCO PREVENTION AND CESSATION STATEMENT OF RECEIPTS, DISBURSEMENTS AND CASH AND INVESTMENT BALANCES For the Period Ended June 30, 2005
Cash and Investments, July 1, 2004 $8,977,110
Receipts: Donation in Memory of Mr. Roger Fey 160 Interest on Investments 242,515 Transfer from Master Settlement Fund 10,800,000 Total Receipts 11,042,675
Disbursements: Advertising Expenditures 3,957,345 Enforcement of Youth Access - Alcohol Tobacco Commission 500,000 Community Grants 4,721,936 Minority Grants 2,403,248 State, Regional and Pilot Partnerships Grants including VOICE 1,366,743 Training & Technical Assistance to Grantees 122,912 Sponsorships (FY04-05 Commitments) MVOV 10,000 ISDH-Health Fair 5,000 Clearinghouse Materials 27,477 Subtotal Statewide, Regional and Pilot Partnership Grants 1,532,132 Program Evaluation - American Institute for Research, St Bd of Accts, Policy, YTS 1,011,360 Administration and Management 888,033 Total Disbursements 15,014,054
Excess of Receipts over (under) Disbursements -3,971,379
Fund Balance July 1, 2004 $8,977,110
Cash and Investments, June 30, 2005 $5,005,731
107 Looking Forward t
r Notes to the Annual Financial Report o p e June 30, 2005 Note 2. Deposits and Investments R l Deposits, made in accordance with IC 5-13, with financial a i
c Note 1.Summary of Significant Accounting Policies institutions in the State of Indiana at year-end were entirely n
a insured by the Federal Depository Insurance Corporation n i or by the Indiana Public Deposit Insurance Fund. This F l A. Introduction includes any deposit accounts issued or offered by a a
u The Indiana Tobacco Prevention and Cessation Agency is qualifying financial institution. The Treasurer of State n
n part of the executive branch of government. As an agent shall invest money in the fund not currently needed A of the Indiana Tobacco Use Prevention and Cessation to meet the obligations of the fund. Executive Board, the Agency is responsible for expending funds and making grants to significantly improve the health of the citizens of the State of Indiana by overseeing Note 3. Net Appropriation the development of tobacco use prevention and cessation Appropriations presented are net of reversions to the programs throughout the State. Indiana Tobacco Use Prevention and Cessation Trust Fund at year-end.
B. Reporting Entity The Indiana Tobacco Prevention and Cessation Agency was created by IC 4-12-4, to establish policies, procedures, standards, and criteria necessary to carry out the duties of the staff of the executive board. Funds needed to operate the Agency are obtained through appropriation by the General Assembly from the Master Settlement Agreement IC 24-3-3-6. The Agency received its initial funding during fiscal year 2000-2001, with a $35 million dollar appropriation. Additional appropriations made to the Agency include $5 million in 2001-2002, $25 million in 2002-2003, of which only $15 million was actually received, and $21.6 million in 2003-2004 in total for the two year budget cycle, FY 04 & FY 05. The annual appropriations for the periods of 2005-2006 and 2006-2007 total $21.6 Million, with a 7% reserve.
108 2004-2005 ANNUAL REPORT
Seeing Further
Deaconess Health System sets date to get the “Smoke-Out”
Deaconess Health System in Evansville has set a smoke-free date for its campuses as November 17, 2005 in celebration of the Great American Smoke-Out. Designated smoking areas will no longer be available outside the hospital and other Deaconess facilities. Employees, patients and visitors will have to leave Deaconess property to smoke.
As part of its formal smoke-free announcement on March 17, 2005, Deaconess issued a community challenge to other area employers and groups. St. Mary’s Medical Center immediately accepted the challenge and will also implement a smoke-free policy on November 17, 2005.
Washington County VOICE focuses on stopping Tobacco Advertising
Washington County VOICE is gathering together to put a stop to the infiltration of Big Tobacco advertisements in their community. The students feel they are being targeted on a daily basis when they walk into their local convenience stores and gas stations. In an effort to curb the amount of tobacco advertisements, they are using disposable cameras to take pictures of convenience store signage with the intent to “voice” their outrage toward local businesses who display advertisements for Big Tobacco in their community.
109 2004-2005 ANNUAL REPORT
Adams County Allen County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Northeast: 25.1% Regional adult smoking prevalence: Northeast: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 11.1% Percent of women in County who report smoking during pregnancy: 13.8%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings Ordinance: County Office Building Courthouse Fort Wayne City Buildings Through a Fort Wayne city ordinance made effective January 1999, all Berne City Hall enclosed public places, including restaurants, within the city limits of Decatur City Fire Fort Wayne, are smokefree. Smoking is allowed in restaurants having a Decatur City Hall separate and fully enclosed dining area for those choosing to smoke. Decatur City Police Private clubs, taverns and bowling alleys are exempt from the ordinance. School Districts with Tobacco-free Campuses Adams Central Community Schools At this time, the ordinance does not extend beyond the city limits to other North Adams Community Schools restaurants in Allen County. For additional details, contact Smoke Free Hospitals Allen County or visit the website below to read the ordinance in full. Adams Memorial Hospital http://www.ci.ft-wayne.in.us/citycode/chap95.htm#95.62 Adams Health Network Parks/Recreational Facilities County Buildings Berne Park Pavilion All County Buildings Decatur City Parks City Buildings Decatur Community Center All City Buildings Other School Districts with Tobacco-free Campuses None Reported MSD Southwest Allen County Hospitals County Funding 01/01/03-12/31/03: $53,000 No Smoke-free Hospital Campus Reported County Funding 01/01/04-06/30/05: $43,600 Parks/Recreational Facilities No Policy Community-based Tobacco Control Coalition Other 4-H of Adams County Health Department Indiana Purdue at Fort Wayne Adams Central Schools Healthy Families Fort Wayne Zoo Adams Memorial Hospital North Adams Schools Boys and Girls Club of Adams County Park Center, Inc. County Funding 01/01/03-12/31/03: $332,400 Decatur Daily Democrat South Adams Schools County Funding 01/01/04-06/30/05: $398,800 Governor’s Commission for S.A.A.C. (Substance Abuse a Drug Free Indiana Awareness Council Community-based Tobacco Control Coalition FWCS Lutheran Hospital Coalition Coordinator: Allen County VOICE Managed Health Boys & Girls Club of Adams County BF Goodrich Mt. Calvary Church Beth Ralston Canterbury Parker-Hannifin 410 Winchester Street EACS Parkview Hospital Decatur, IN 46733 Ft. Wayne Medical Society Progressive Church 260.724.9128 ext. 23 (Phone) Harmony Health QHP HMO 260.724.6030 (Fax) IKD Society St. Joe Hospital [email protected] Indiana State Center SWACS Latino SWAT HealthVisions
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Coalition Coordinator: Bartholomew County Smokefree Allen County, Inc. Marie Washington Indiana adult smoking prevalence: 24.9% 2000 North Wells Street, Building #1 Fort Wayne, IN 46808 Regional adult smoking prevalence: Southeast: 30.5% 260.424.7883 (Phone) 260.424.2942 (Fax) Indiana youth smoking prevalence: Middle School- 7.8% [email protected] High School- 21.3%
United Hispanic-Americans, Inc./Benito Juarez Cultural Center Percent of women in County who report smoking during pregnancy: 20.2%
Minority-based Tobacco Control Coalition Tobacco-Related Policies
County Funding 01/01/03-12/31/03: $80,300 County Buildings County Funding 01/01/04-06/30/05: $115,751 All County Buildings City Buildings Geyer Middle School Northwood Niddle School All City Buildings Fifth Third Bank Emanuel Baptist Church School Districts with Tobacco-free Campuses American Society of Fort Wayne IPFW Bartholomew County School Corporation Northwood Middle School Latino SWAT- United Hispanic- Flat Rock-Hawcreek School Corporation Americans, Inc. Hospitals Creencio Barahona Lenoardo Fires No Smoke-free Hospital Campus Reported Director of Development/Operations UHA HATC Parks/Recreational Facilities UHA/Benito Juarez Center New Haven Middle School Indoor Facilities St. Patrick's Catholic Church Maria Parra Other El Mexicano (newspaper) Smokefree Allen County None Reported Geyer Middle School IPFW University Northside High School Fairfield Elementary School County Funding 01/01/03-12/31/03: $76,100 Herb Hernandez Executive Director of UHA County Funding 01/01/04-06/30/05: $91,320
Coalition Coordinator: Community-based Tobacco Control Coalition Rosa Gerra American Cancer Society March of Dimes 1210 Broadway Street Bartholomew Consolidated School Systems Minority Coalition Fort Wayne, IN 46802 Bartholomew County Court System Papa's Deli 260.422.2651 (Phone) Bartholomew County Extension Office (4-H) Parks Department 260.420.2272 (Fax) Bartholomew County Health Department Quinco [email protected] Columbus Regional Hospital VOICE Flatrock-Hawcreek School Corporation Volunteers in Medicine Clinic Healthy Communities Wellness Program Ivy Tech Love Chapel White River Broadcasting, Inc.
Coalition Coordinator: Columbus Regional Hospital Foundation Peggy Voelz 2400 E 17th Street Columbus, IN 47201 812.375.3194 (Phone) 812.376.5916 (Fax) [email protected]
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Proyecto Salud Action Team Benton County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $16,700 Regional adult smoking prevalence: Central-west: 33.8% County Funding 01/01/04-06/30/05: $14,085 Indiana youth smoking prevalence: Middle School- 7.8% Action Team High School- 21.3% Alejandra Carretro Amanda Noyola Percent of women in County who report smoking during pregnancy: 13.9% Amparo Cardell Bartholomew Co. Consolidated School Corp. –Health Services Tobacco-Related Policies Bartholomew Co. Consolidated School Corp. –Student Assistance Bartholomew County Perinatal Network County Buildings Bud Kencaid Courthouse Columbus Regional Hospital City Buildings El Correo, Spanish Newspaper Boswell Town Hall Elizabeth Partrige Ambia Town Hall Elizabeth Siegmann, LPC Earl Park Town Hall Elsa Miller Fowler Town Hall Frank and Carolyne Souza Otterbein Town Hall Healthy Communities Oxford Town Hall Healthy Communities Tobacco Awareness School Districts with Tobacco-free Campuses Juan Garcia, Ph. D. No Schools with Tobacco-free Campuses Laura Hurt, RN Hospitals Maria Fritz No Hospital in County Marta Boriss Parks/Recreational Facilities Mary Ellen Nelson 4-H Buildings at County Fairgrounds Mayor’s Diversity Task Force Other NAACP None Reported PUENTES, Spanish bilingual group Su Casa, Columbus Hispanic Center County Funding 01/01/03-12/31/03: $26,300 Victor Burgos County Funding 01/01/04-06/30/05: $27,615
Coalition Coordinator: Community-based Tobacco Control Coalition Columbus Regional Hospital Foundation American Cencer Society Faith Juan Garcia BC Life Ministries, Inc. Fowler Methodist Church 2400 East 17th Street Benton Central FFA Sponsor Fowler Rotary Columbus, IN 47201 Benton County Extension Service Head Start Teacher 812.376.5836 (Phone) 4-H Youth Leader 812.376.5916 (Fax) Benton County Habitat for Humanity Indiana National Guard Drug [email protected] Demand Reduction Program Benton County Public Health Nurse Junior High Courage Club Celebrate Recovery Program Parent Self Sufficiency Nurse at Benton County Jail for Pregnant Teens Community Action Program Workforce School nurse Benton Central Development Counselor Jr./Sr. High School Dave Guthridge Senior High Courage Club Drug Free Bention County Coalition State Representative District #15 Elementary School nurse: Fowler, Boswell The Farmers Table and Sacred Heart Elementary School nurse: Oxford, Otterbein
Coalition Coordinator: Community Action Program, Inc. of Western Indiana Janie Petersen 5065 N 600 East Fowler, IN 47944 219.261.2871 (Phone) 219.261.2871 (Fax) [email protected]
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Blackford County Boone County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central east: 31.8% Regional smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 29.9% Percent of women in County who report smoking during pregnancy: 13.8%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Blackford County Courthouse All County Buildings Blackford County Jail City Buildings City Buildings Lebanon City Buildings Hartford City Buildings Zionsville City Fire Jail Zionsville City Police Courthouse School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Lebanon Community School Corporation Blackford Community Schools Zionsville Community Schools Hospitals Western Boone County Community Schools No Smoke-free Hospital Campus Reported Hospitals Parks/Recreational Facilities No Smoke-free Hospital Campus Reported YMCA Parks/Recreational Facilities Other Zionsville City Parks Bills Foods Lebanon Parks State - DCS/DFR Other Pak a Sak None Reported Karen’s cafe Bonham Insurance County Funding 01/01/03-12/31/03: $60,600 Northwing Deli County Funding 01/01/04-06/30/05: $66,047 Ind. Box Community-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $26,300 Arc Rehab Services Knotty Pine Restaurant County Funding 01/01/04-06/30/05: $31,560 Boone County Cancer Society Michelle Prevost, RN Boone County Cancer Society, Inc New Life Recovery Home Community-based Tobacco Control Coalition Boone County Family YMCA Thorntown Presbyterian Church 4-H Chamber of Commerce Boone County WIC Tracy Selke American Cancer Society Child Protection Services Central Indiana Teen Challenge Vickie Foster Bill's Foods Christian Youth Group Glenda Howe, school nurse VOICE Blackford Baptist Schools County Commissioner Indiana Coalition to Reduce Wendy Cohen Blackford Community Hospital Division of Family and Children Underage Drinking (ICRUD) Blackford County Drug Free Council Dr. Lee Indiana Criminal Justice Institute Woman's Temperance Union Blackford County Health Department Dr. Smith Julie Wilmot, Boone County Health Dept. Women's Medical Center Blackford County Ministerial Society Girl Scouts Blackford County School Governor's Drug Free Council Coalition Coordinator: Blackford County School Nurses Harford City Police Boone County health Department Blackford County Sheriff Karen's Café Delana Bennington Bonham's Insurance Montpelier Police 116 West Washington Street YMCA YSB of Jay Co. Lebanon, IN 46052 Community Family Services 765.482.6099 (Phone) 765.483.4450 (Fax) Coalition Coordinator: [email protected] Debbie McGriff-Tharp 304 South Walnut Ridgeville, IN 47380 765.857.2749 (Phone) 765.857.8911 (Fax) [email protected]
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Brown County Carroll County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southwest: 26.8% Regional smoking prevalence: North-central: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 23.4% Percent of women in County who report smoking during pregnancy: 17.8%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse County Office Building Sheriff Department Highway Department City Buildings City Buildings Delphi City Building Nashville Town Hall Flora Town Hall School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Brown County Schools Carroll Consolidated Hospitals Delphi School Corporation No Hospital in County Hospitals Parks/Recreational Facilities No Hospital in County Nashville City Parks Parks/Recreational Facilities Other None Reported None Reported Other 10 Smoke-free restaurants in Delphi and Flora County Funding 01/01/03-12/31/03: $26,300 County Funding 01/01/04-06/30/05: $25,110 County Funding 01/01/03-12/31/03: $44,800 County Funding 01/01/04-06/30/05: $47,040 Community-based Tobacco Control Coalition Ace Janitorial IU Rural Nurse Clinics Community-based Tobacco Control Coalition Aging and Community Services Literacy Coalition Carroll County Comet Delphi United Methodist Church Brown County Schools Literacy Coalition Carroll County Health Department Family Health Clinic Even Start Family Literacy New Life Community Church Carroll County YMCA First Steps Even Start Family Literacy Office of Family and Children Child Protection Flora Community Club Health Department Quinco Behavioral Health County Government Liberty Lazers 4-H Club Health Department School Nurses County Sheriff's Department The Reminder Healthy Families Women Infant and Children (WIC) Delphi Community Schools YWCA Domestic Violence Home School Family Delphi Presbyterian Church
Coalition Coordinator: Coalition Coordinator: Brown County Government-Auditor Carroll County Health Department Linda Hobbs Mary Jones P.O. Box 1311 101 West Main Street, Courthouse Nashville, IN 47448 Delphi, IN 46923 812.988.7997 (Phone) 765.564.3420 (Phone) 812.988.5487 (Fax) 765.564.6161 (Fax) [email protected] [email protected]
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Cass County Indiana Latino Institute - ICP
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: North central: 25.1% County Funding 01/01/04-06/30/05: $742,828 (Total ILI funding for coalitions in 11 counties) Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Yesenia Gonzalez, Latino Tobacco Control of Cass County Amy Sweet, Four County Counseling Center Percent of women in County who report smoking during pregnancy: 20.7% Fr. Michael Mckinney, All Saints Catholic Church Joyce Gebhardt, Diversity Dynamics Tobacco-Related Policies Dave Miller, Landmark Adult Learning Center Celeste Ott, Cass County Community Health Center County Buildings Jull Walters, Cass County WIC County Office Building Carrie Kasten, Cass County Community Health Center Sheriff Department Mary Williams, Emmaus Mission Center City Buildings Cecilia Martinez, Country Bakery Logansport City Fire Ted & Dora Vital, La Doña Logansport City Police Mayra Loeza, La Rosita Logansport City Utilities Logansport City Building Coalition Coordinator: Logansport City Parks Yesenia Gonzalez School Districts with Tobacco-free Campuses 1301 Spears Logansport Community School Corporation Logansport, IN 46974 Pioneer Regional School Corporation (574) 737-7169 (Phone) Southeastern School Corporation [email protected] Hospitals Memorial Hospital Parks/Recreational Facilities Buildings, Playgrounds, Pool and Ballfields Other TM Morris and Modine Factories
County Funding 01/01/03-12/31/03: $58,045 County Funding 01/01/04-06/30/05: $69,000
Community-based Tobacco Control Coalition Cass County Health Department Landmark Adult Learning Center Columbia Middle School Lincoln Middle School Dawn Conner, Cass County Auditor Logansport Memorial Hospital Emmaus Mission Center Pharos-Tribune Family Opportunity Center Ted Franklin, City Councilman Four County Counseling Center WSAL/Mix 102.3 FM Hoosier Country 103.7 FM Cancer Center
Coalition Coordinator: Four County Counseling Center Amy Sweet 1015 Michigan Avenue Logansport, IN 46947 574.722.5151 ext. 263 (Phone) 574.722.9523 (Fax) [email protected]
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Clark County Community Action of Southern Indiana
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: Southeast: 30.5% County Funding 01/01/03-12/31/03: $54,700 County Funding 01/01/04-06/30/05: $21,169 Indiana youth smoking prevalence: Middle School- 7.8% (also Floyd County) High School- 21.3% Boys and Girls Club Jeffersonville Housing Authority Percent of women in County who report smoking during pregnancy: 22% Community Action of Southern Indiana Jeffersonville NAACP Clark County Youth Coalition New Albany NAACP Tobacco-Related Policies Clark Memorial Hospital Our Place Drug and Alcohol Ed. Services County Buildings Department of Workforce Development Rauch, Inc. Healthy Families None Reported Floyd County Youth Services Coalition Second Baptist Church City Buildings Floyd Memorial Hospital Southern Indiana Minority Clarksville Town Hall Enterprise Initiative Clarksville Fire Grassroots Prevention Coalition Southern Indiana Minority Jeffersonville City Housing Health Initiative Jeffersonville Fire Department Hispanic Ministries Tri-County Health Coalition School Districts with Tobacco-free Campuses Howard Chapel Baptist Church Twenty First Century Scholars No Schools with Tobacco-free Campuses Indiana University Southeast Wesley United Methodist Church Hospitals No Smoke-free Hospital Campus Reported Parks/Recreational Facilities Coalition Coordinator: Jeffersonville City Parks Nicole Toran Other 1613 East 8th Street None Reported Jeffersonville, IN 47130 812.288.6451 ext. 133 (Phone) County Funding 01/01/03-12/31/03: $123,800 812.284.8314 (Fax) County Funding 01/01/04-06/30/05: $130,547 [email protected]
Community-based Tobacco Control Coalition American Cancer Society Floyd County ATOD Task Force American Heart Association Governor's Commission for a Drug-Free Indiana Boys and Girls Club of Jeffersonville Grassroots Prevention Coalition of Clark County Bridgepointe Goodwill and Easter Seals Greater Clark County Schools Clark County Health Department InfoLink of Southern Indiana Clark County Youth Coalition Jeffersonville Housing Authority/Village Safe Clark County Youth Shelter and Jeffersonville NAACP Family Services Clark Memorial Hospital and Wellness Center Jeffersonville Youth Commission Clark/Floyd County Minority Tobacco Coalition Lifespan Resources Clarksville Community School System New Life Family Resources Colleen Byrne, Chaplain, Clark Memorial Hospital Our Lady of Providence High School Communities in Schools of Clark County Sacred Heart Parish School Community Action of Southern Indiana Southern Indiana Minority Health Initiative Department of Workforce Development Twenty-first Century Scholars EmployCare West Clark Community Schools Family Health Center of Clark County YMCA of Southern Indiana
Coalition Coordinator: Clark Memorial Hospital Vanessa Smith 1220 Missouri Avenue Jeffersonville, IN 47130 812.285.5877 (Phone) 812.283.2411 (Fax) [email protected]
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Clay County Clinton County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: North central: 25.1% Regional smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 28.4% Percent of women in County who report smoking during pregnancy: 20.1%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings County Office Building County Office Building City Buildings Courthouse Brazil City Buildings City Buildings School Districts with Tobacco-free Campuses Frankfort City Building Clay Community Schools Rossville Town Hall Hospitals Mulberry Town Hall No Smoke-free Hospital Campus Reported Kirklin City Building Parks/Recreational Facilities School Districts with Tobacco-free Campuses None Reported Rossville Consolidated Schools Other Clinton Prarie Schools None Reported Hospitals St. Vincent Frankfort Hospital Inc. County Funding 01/01/03-12/31/03: $48,700 Parks/Recreational Facilities County Funding 01/01/04-06/30/05: $10,440 Clinton County Boys & Girls Club Clinton County Family YMCA Community-based Tobacco Control Coalition Other Clay City Jr./Sr. High None Reported Clay City Police Clay County 4-H County Funding 01/01/03-12/31/03: $53,200 Clay County Health Department County Funding 01/01/04-06/30/05: $63,840 Melinda Jackson Northview High School Community-based Tobacco Control Coalition American Cancer Society Frankfort Police Department Coalition Coordinator: Big Brothers, Big Sisters Frankfort Times Clay County Commissioners Cindy Murphy, RN Frankfort Wesleyan Church Lori Knight City of Frankfort Geetingsville Presbyterian Church 5276 West State Road 42 Clinton Central Schools Head Start Brazil, IN 47834 Clinton County Boys and Girls Club Jim Dandy 812.448.1530 (Phone) Clinton County Family YMCA Nazarene Church 812.442.0608 (Fax) Clinton County First Steps Probation Department [email protected] Clinton County Health Department Purdue Extension Service (Learning to Lead) Clinton County Ministerial Council Rainbow Haven Clinton Prairie Schools Rossville School Foundation Community Counseling Center Rossville Schools County Sheriff St. Vincent Frankfort Drug and Alcohol Coalition Frankfort Community Library United Way Frankfort Community Schools Zonta Smart Steps LLC Crisis Pregnancy Center
Coalition Coordinator: Clinton County Government Brandie Oliver 3718 West 750 South Rossville, IN 46065 765.379.9707 (Phone) 765.379.2314 (Fax) [email protected]
117 2004-2005 ANNUAL REPORT
Indiana Latino Institute – La Coalicion Latina de Tippecanoe Crawford County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/04-06/30/05: $742,828 Regional smoking prevalence: Southwest: 26.8%
(Total ILI funding for coalitions in 11 counties) Indiana youth smoking prevalence: Middle School- 7.8% Aida Muñoz, La Coalición Latina de Tippecanoe High School- 21.3% Jasmine Alvarez, St. Vincents Hospital Juan Martinez, Iglesia Metodista Percent of women in County who report smoking during pregnancy: 33.1% Veronica E. Trejo, Hispanic Center Gilma Hernandez, Hispanic Center Tobacco-Related Policies Rachel Galllichan, YWCA Brandie Oliver, TCP County Buildings Susie Michael, Boys and Girls Club All Buildings Donn Walling, Farmers Bank City Buildings Saundra Sheets, Safety Kids of Indiana None Reported Libbi Smitt, Vincent Hospital School Districts with Tobacco-free Campuses Erin Kleindorfer, Community Counseling Center Howard Community Hospital No Schools with Tobacco-free Campuses Rita Williams, Schooll Principal Kyger Elementary School Hospitals Fr. Joe No Hospital in County Alyssa Thewes, Tobacco Control Partnership of Tippecanoe County Parks/Recreational Facilities Zenaida Loveless, Hispanic Community Services None Reported Maria Lopez, Tienda Michoacan Other None Reported Coalition Coordinator: Aida Munoz County Funding 01/01/03-12/31/03: $26,600 905 Brown Street County Funding 01/01/04-06/30/05: $27,615 Lafayette, IN 47904 765.420.7902 (Phone) Community-based Tobacco Control Coalition [email protected] American Cancer Society Hoosier Uplands Crawford County Health Department Indiana Criminal Justice Institute Crawford County Healthy Families Patoka Family Health Care Clinic Crawford County Office of Family and Children Purdue Extension Crawford County School System Youth Service Bureau Crawford County LCC Hoosier Hills PACT
Coalition Coordinator: Hoosier Uplands Economic Development Corp. Allison Moore 1602 I Street, Suite 2 Bedford, IN 47421 812.275.3182 (Phone) 812.275.5116 (Fax) [email protected]
118 2004-2005 ANNUAL REPORT
Daviess County Dearborn County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southwest: 26.8% Regional smoking prevalence: Southeast: 30.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 16.2% Percent of women in County who report smoking during pregnancy: 22.6%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse County Office Building City Buildings Sunman-Dearborn Washington City Hall City Buildings Plainville Town Hall Greendale City Building Odon City Hall Dillsboro City Building School Districts with Tobacco-free Campuses Aurora City Building No Schools with Tobacco-free Campuses Lawrenceburg City Building Hospitals School Districts with Tobacco-free Campuses No Smoke-free Hospital Campus Reported No Schools with Tobacco-free Campuses Parks/Recreational Facilities Hospitals Washington City Parks No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities None Reported None Reported Other County Funding 01/01/03-12/31/03: $50,700 None Reported County Funding 01/01/04-06/30/05: $50,840 County Funding 01/01/03-12/31/03: $60,600 Community-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $52,500 American Cancer Society Head Start Barr Reeve Community Schools Healthy Families Community-based Tobacco Control Coalition Daviess Community Health Department Hoosier Uplands ASAP Center Dearborn County Health Dept. Daviess Community Hospital Indiana Criminal Justice Institute Big Brothers Big Sisters of Greater Cincinnati Directions! Daviess County Family YMCA North Daviess Community Schools CASA Family Connections Daviess County LCC Power House Center Community Mental Health Center Lawrenceburg Police Dept. Daviess County Partnership Purdue Cooperative Extension Daviess County Sheriff Department Washington Catholic Schools Coalition Coordinator: Friends for Kids Washington Community Schools Dearborn County Government Donna Thacker Coalition Coordinator: 451 Park Avenue, P.O. Box 3851 Hoosier Uplands Economic Development Corp. Lawrenceburg, IN 47025 Allison Moore 812.537.5065 (Phone) 1602 I Street, Suite 2 [email protected] Bedford, IN 47421 812.275.3182 (Phone) 812.275.5116 (Fax) [email protected]
119 2004-2005 ANNUAL REPORT
Decatur County DeKalb County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southeast: 30.5% Regional smoking prevalence: Northeast: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 31.4% Percent of women in County who report smoking during pregnancy: 24%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Sheriff Department County Office Building City Buildings Courthouse Greensburg City Hall City Buildings Greensburg City Police Waterloo City Hall Greensburg City Water Garrett City Hall Greensburg City Fire Butler City Hall School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Decatur County Community Schools No Schools with Tobacco-free Campuses Greensburg Community Schools Hospitals Hospitals No Smoke-free Hospital Campus Reported No Smoke-free Hospital Campus Reported Parks/Recreational Facilities Parks/Recreational Facilities Auburn City Parks None Reported Other Other None Reported None Reported County Funding 01/01/03-12/31/03: $57,100 County Funding 01/01/03-12/31/03: $47,500 County Funding 01/01/04-06/30/05: $33,520 County Funding 01/01/04-06/30/05: $40,000 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition Auburn Police Department Indiana State Police Arby's Roast Beef Restaurant Decatur County Office of DeKalb Central United School Northeastern Center Family & Children DeKalb County Community Foundation Restoration Ministries Business and Professional Women Decatur County School Corporation DeKalb County EMS Serenity House Carousel Play and Learn Day Care Decatur County Sheriff's Dept. DeKalb County Health Department Step Ahead Council Chili's Bar and Grill Downtown Merchant Association DeKalb County Sheriff Department SURFF Students Undertaking Community Action Coalition FCCLA- North Decatur High School Responsibility for the Future Decatur County Auditor Greensburg Community DeKalb Eastern United School The Cupbearer School Corporation DeKalb Memorial Hospital United Way of DeKalb County, Inc. Decatur County Board of Health Greensburg Daily News Garrett Community Center YMCA of DeKalb County Decatur County Chamber of Commerce Greensburg Police Department Garrett Keyser Butler School Youth for Christ Decatur County Commissioners Ponderosa Steak House Decatur County Fair Board River Valley Resources Coalition Coordinator: Decatur County Family YMCA VOICE United Way of DeKalb County, Inc. Decatur County Free Clinic WTRE Radio Station Brenda Daley Decatur County Memorial Hospital P.O. Box 406 301 South Union Street Coalition Coordinator: Auburn, IN 46706 Decatur County Treasurer 260.927.1706 (Phone) Tina Hoeing 260.927.0996 (Fax) 6152 East State Road 46 drugfreedekalbcounty..org Greensburg, IN 47240 812.662.6096 (Phone) 812.663.4220 (Fax) [email protected]
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Delaware County Future Choices, Inc.
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: Central-east: 31.8% County Funding 01/01/03-12/31/03: $41,400 County Funding 01/01/04-06/30/05: $39,650 Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Ambassadors for Christ Medical Consultants Ball Memorial Hospital Asthma Minority Health Coalition Percent of women in County who report smoking during pregnancy: 24.3% Education Department of Delaware County Ball State University Department Motivate Our Minds Tobacco-Related Policies of Health and Physiology Ball State University Department Muncie Commission on the County Buildings of Wellness and Gerontology Social Status of Black Males All County Buildings Ball State University Office of Muncie Housing Authority City Buildings Multicultural Affairs All City Buildings except for City Hall Boys and Girls Club Newspapers in Education School Districts with Tobacco-free Campuses Buley Community Center Paramount Community Church Cowan Community School Corporation Cathedral of Praise Church Precious Hearts Child Development Center Daleville Community Schools Church of the Living God Project Care Liberty-Perry Community Schools Coalition of 100 Women Punchie's Style Center and Boutique Mount Pleasant Township Schools Community Alliance to Smokefree Indiana Harrison-Wash Community School Corporation Promote Education Hospitals Cornerstone Community Center South Madison Community Center No Smoke-free Hospital Campus Reported for the Arts Parks/Recreational Facilities Deliverance Temple Terrestrial Temple Church Skate Board Park at Tuhey Park in Muncie Dollhouse Child Daycare Home The Muncie Times Other Dr. Cheryl Westmoreland Tobacco Free Coalition of Delaware County Ball State University Residence Halls Dynamic Fitness Top Quality Productions Educational TASCC Force Union Baptist Church County Funding 01/01/03-12/31/03: $137,400 Future Choices Inc. Whitely Neighborhood Association County Funding 01/01/04-06/30/05: $164,880 Gholar and Gholar Widow's Sons Lodge #22 Funeral Services Community-based Tobacco Control Coalition Indiana Academy of Science, Women of the Word Ministries American Cancer Society Delta High School Teacher Math and Humanities American Heart Association Family Services of Delaware County Indiana Black Expo, Muncie Chapter Youth With A Future Ball Memorial Hospital-Nicotine Dependency Future Choices, Inc. Industry Neighborhood Development Association Ball Memorial Hospital-Respiratory Governor's Commission for a Therapy Department Drug-Free Indiana Coalition Coordinator: Ball State University- Department of Nursing Minority Health Coalition Judy Mays Ball State University-Department of Minority Tobacco Free Coalition 100 West Main Street Room 313 Physiology and Health Science of Delaware County Muncie, IN 47305 Ball State University-Fisher Institute Motivate Our Minds 765.747.7814 voicemail 384 (Phone) for Wellness and Gerontology 765.747.7817 (Fax) Board of Health Muncie Community Schools-Admin. [email protected] Bruners Restaurant Muncie Police Department Cancer Services of Delaware County Open Door/ Ball Memorial Hospital Health Center Cardinal Health Partners/Kenmore SmokeFree Indy HC Pharmacy Cardinal Health Systems Family South Madison Community Center Healthcare Pharmacy Center Township Trustee TEAMwork for Quality Living Community Volunteers The Star Press Delaware County Board of Health The White River Landing Restaurant Delaware County Coordinating Council Twenty-first Century Scholars to Prevent Alcohol and Other Drug Abuse Delaware County Health Department Yorktown Healthcare Pharmacy
Coalition Coordinator: Family Services of Delaware County, Inc. Julia Witbeck 806 West. Jackson Street Muncie, IN 47305 765.281.2745 (Phone) 121 765.281.2733 (Fax) [email protected] 2004-2005 ANNUAL REPORT
Dubois County Elkhart County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southwest: 26.8% Regional smoking prevalence: North-central: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 14.2% Percent of women in County who report smoking during pregnancy: 17.2%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All County Buildings Courthouse Courthouse Sheriff Department City Buildings City Buildings Huntingburg City Offices Elkhart City Buildings Jasper City Offices Middlebury Town Hall School Districts with Tobacco-free Campuses Nappanee City Hall Northeast Dubois County School Corporation Goshen City Police Southeast Dubois County School Corporation School Districts with Tobacco-free Campuses Southwest Dubois County School Corporation Baugo Community Schools Greater Jasper Community Schools Concord Community Schools Hospitals Elkhart Community Schools St. Joseph’s Hospital of Huntingburg, Inc. Goshen Community Schools Memorial Hospital & Health Care Center Middlebury Community Schools Parks/Recreational Facilities Wa-Nee Community Schools None Reported Hospitals Other Elkhart General Hospital None Reported Parks/Recreational Facilities Elkhart Park Buildings County Funding 01/01/03-12/31/03: $56,700 Goshen Park Buildings County Funding 01/01/04-06/30/05: $40,050 Nappanee Park Buildings Wakarusa Park Buildings Community-based Tobacco Control Coalition Other American Cancer Society Memorial Hospital Goshen College Courtney Knies, VOICE Southern Hills Counseling Center Crisis Connection Southwest Dubois School Corp. County Funding 01/01/03-12/31/03: $241,500 Dubois Co. Health Department St. Joseph's Hospital County Funding 01/01/04-06/30/05: $95,463 Dubois Co. Substance Abuse Task Force Tri-Cap Head Start Huntingburg Teenage Canteen, Inc. Tri-Cap Teen Wellness Centers Community-based Tobacco Control Coalition Mayor Gail Kemp WBDC/WJTS Bristol Police Department Minority Health Coalition Elkhart Community Schools Hispanic/Latino Coalition Coalition Coordinator: Elkhart General Hospital ACS St. Joseph’s Hospital Goshen Police Department Boys & Girls Club of Goshen Shannon Hildebranski Health City Health Center Elkhart County 1900 Medical Arts Drive Health Department Huntington, IN 47542 Healthy Beginnings Oaklawn 812.683.6441 (Phone) Elkhart Black Expo Prude Extension 812.683.6403 (Fax) Recovery Journey [email protected] Coalition Coordinator: Elkhart County Mark Potuck 608 Oakland Avenue Elkhart, IN 46516 574.523.2117 (Phone) 574.523.2158 (Fax) [email protected]
122 2004-2005 ANNUAL REPORT
Minority Health Coalition of Elkhart County Fayette County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $86,800 Regional smoking prevalence: Central-east: 31.8% County Funding 01/01/04-06/30/05: $90,300 Indiana youth smoking prevalence: Middle School- 7.8% Agape Missionary Church High School- 21.3% American Cancer Society Bethany Chapel Percent of women in County who report smoking during pregnancy: 29.4% Canaan Baptist Church City of Elkhart Tobacco-Related Policies Community Missionary Baptist Church El Divino Redentor County Buildings El Faro Courthouse Elkhart Black Expo City Buildings Elkhart Community School Connersville City Hall Elkhart County Health Department School Districts with Tobacco-free Campuses Elkhart Hospital Fayette County School Corporation Elkhart Housing Authority Hospitals Greater Bethany Church No Smoke-free Hospital Campus Reported La Casa Parks/Recreational Facilities Maple City Health Care Center Miller Building in Roberts Park North Side Coalition Other Pilgrim Rest Missionary Baptist None Reported St. James AME Church Tolsn Community Center County Funding 01/01/03-12/31/03: $48,100 United Methodist Church of Goshen County Funding 01/01/04-06/30/05: $57,720
Community-based Tobacco Control Coalition Coalition Coordinator: Big Brothers Fayette Memorial Hospital Tara Morris Community Education Coalition FSSA P.O. Box 218 Connersville Fire Department Probation Office 315 Wagner Avenue Cooperative Extension Office Step Ahead Elkhart, IN, 46515 Creative Counseling Visteon Corporation 574.522.0128 (Phone) Fayette County Health Department Whitewater Valley Care Pavilion 574.293.1403 (Fax) Fayette County School Corporation [email protected] Coalition Coordinator: Indiana Latino Institute – Elkhart Community Education Coalition Karolyn Buckler Minority-based Tobacco Control Coalition 3013 Virginia Avenue, P.O. Box 225 Connersville, IN 47374 County Funding 01/01/04-06/30/05: $742,828 765.825.7633 (Phone) (Total ILI funding for coalitions in 11 counties) 765.825.1693 (Fax) [email protected] Guadalupe Zepeda, Youth Service Bureau Maria Diaz, Hispanic Latino Minority Health Coalition of Elkhart County
123 2004-2005 ANNUAL REPORT
Floyd County Community Action of Southern Indiana
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: Southeast: 30.5% County Funding 01/01/03-12/31/03: $54,700 County Funding 01/01/04-06/30/05: $21,169 Indiana youth smoking prevalence: Middle School- 7.8% (also Clark County) High School- 21.3% Boys and Girls Club Jeffersonville Housing Authority Percent of women in County who report smoking during pregnancy: 20.9% Community Action of Southern Indiana Jeffersonville NAACP Clark County Youth Coalition New Albany NAACP Tobacco-Related Policies Clark Memorial Hospital Our Place Drug and Alcohol Ed. Services County Buildings Deptartment of Workforce Development Rauch, Inc. Healthy Families Courthouse Floyd County Youth Services Coalition Second Baptist Church Annex Floyd Memorial Hospital Southern IN Minority License Branch Enterprise Initiative Animal Shelter Grassroots Prevention Coalition Southern Indiana Minority City Buildings Health Initiative New Albany City Housing Hispanic Ministries Tri-County Health Coalition School Districts with Tobacco-free Campuses Howard Chapel Baptist Church Twenty First Century Scholars No schools with tobacco free campuses Indiana University Southeast Wesley United Methodist Church Hospitals No Smoke-free Hospital Campus Reported Coalition Coordinator: Parks/Recreational Facilities Nicole Toran New Albany City Parks 1613 East 8th Street Other Jeffersonville, IN 47130 None Reported 812.288.6451 ext. 133 (Phone) 812.284.8314 (Fax) County Funding 01/01/03-12/31/03: $75,700 [email protected] County Funding 01/01/04-06/30/05: $78,000
Community-based Tobacco Control Coalition American Cancer Society Health Outreach Coalition Brandon's House Counseling Center Interfaith Community Council Clark County Youth Coaltion Jamey Aebersold Clark/Floyd Minority Tobacco Coalition New Albany Floyd County Schools Administration Floyd County Alcohol, Tobacco and New Albany High School Other Drug Abuse Task Force SADD Chapter Floyd County Family Health Care Center Our Place Drug and Alcohol Education Services Floyd County Sheriff's Department Rauch Inc. Healthy Families Floyd County Step Ahead Council Rotary Floyd County Youth Services Bureau Southern Indiana Rehabilitation Floyd Memorial Hospital YMCA-VOICE HUB Governor's Commission for a Drug-Free Indiana
Coalition Coordinator: Our Place Drug and Alcohol Education Services, Inc. MeriBeth Adams-Wolf 101 Saint Anthony Drive, P.O. Box 8 Mt. St. Francis, IN 47146 812.923.3400 (Phone) 812.923.9870 (Fax) [email protected]
124 2004-2005 ANNUAL REPORT
Fountain County Franklin County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central-west: 33.8% Regional smoking prevalence: Central-east: 31.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 25.6% Percent of women in County who report smoking during pregnancy: 24%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Fountain County Courthouse County Courthouse Welfare Department City Buildings Fountain County Jail Brookville City Hall Fountain County Ambulance Service Brookville City Police Fountain/Warren County Health Department. School Districts with Tobacco-free Campuses City Buildings No Schools with Tobacco-free Campuses Attica City Buildings Hospitals Covington City Hall No Hospital in County Williamsport Town Hall Parks/Recreational Facilities School Districts with Tobacco-free Campuses None Reported No Schools with Tobacco-free Campuses Other Hospitals None Reported No Hospital in County Parks/Recreational Facilities County Funding 01/01/03-12/31/03: $46,000 None Reported County Funding 01/01/04-06/30/05: $31,500 Other None Reported Community-based Tobacco Control Coalition Brookville Theatre Laurel Elementary & Junior High School County Funding 01/01/03-12/31/03: $69,800 Chamber of Commerce Mt. Carmel Elementary County Funding 01/01/04-06/30/05: $83,760 (amount divided between & Junior High School Fountain and Warren counties) Creative Counseling Purdue Extension DIRECTIONS! Of Community St. Michael's Parochial School Community-based Tobacco Control Coalition Mental Health Center American Cancer Society Indiana Criminal Justice Institute Family Connections Subway Attica Consolidated School Corporation MSD of Warren County Franklin County Youth Council Youth for Christ Church of the Nazarene, Covington Southeast Fountain School Corp. Community Action Program, Inc. St. Vincent Williamsport Hospital Coalition Coordinator: Covington Community Schools Super Test Oil Franklin County Commissioners Fountain/Warren County Health Department VOICE Kim Linkel 1057 Morris Road Coalition Coordinator: Batesville, IN 47006 Community Action Program, Inc. of Western Indiana 812.934.3069 (Phone) Kathy Walker [email protected] 418 Washington Street, P.O. Box 188 Covington, IN 47932 765.793.4881 (Phone) 765.793.4884 (Fax) [email protected]
125 2004-2005 ANNUAL REPORT
Fulton County Gibson County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: North-central: 25.1% Regional smoking prevalence: Southwest: 26.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 30.3% Percent of women in County who report smoking during pregnancy: 24%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All County Buildings All County Buildings City Buildings City Buildings Rochester City Hall Princeton City Building Akron Town Hall Oakland City Hall Fulton Town Hall Oakland City Water Kewanna Town Hall Oakland City Police School Districts with Tobacco-free Campuses Princeton City Housing Caston School Corporation School Districts with Tobacco-free Campuses Rochester Community School Corporation No schools with tobacco free campuses Tippecanoe Valley School System Hospitals Hospitals Gibson General Hospital Woodlawn Hospital Parks/Recreational Facilities Parks/Recreational Facilities Princeton City Parks Rochester City Parks Other Other Princeton Little League Ball Parks None Reported County Funding 01/01/03-12/31/03: $52,300 County Funding 01/01/03-12/31/03: $45,000 County Funding 01/01/04-06/30/05: $62,760 County Funding 01/01/04-06/30/05: $54,000 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition American Cancer Society Greater Grace Apostolic Church American Cancer Society Indiana Regional Council of Carpenters American Lung Association KFC Restaurant Caston Educational Center Kiwanis Club of Rochester Catholic Diocese Schools Narcotics Anonymous County What Not Gardens Mental Health Association of Fulton County Cinergy North Gibson School Corporation First Baptist Church Rochester City Council Dick Clark's Restaurant Oakland City University First Federal Savings Bank Rochester City Police Doulous Ministries Oasis Assembly of God Four County Counseling Center Rochester Community Schools East Gibson School Corporation Princeton Daily Clarion Fulton County Government Rochester Metal Products First Steps of SW Indiana Princeton Little League Commissioner Francisco General Baptist Church Salvation Army Fulton County Public Library Rochester/Lake Manitou Gibson County Commissioner South Gibson School Corporation Chamber of Commerce Gibson County Community Corrections Southwestern Indiana Mental Fulton County Wellness Center Ted Waggoner, Attorney-at-Law Community Transition Program Health Center Governor's Commission for a Tippecanoe Valley School Corporation Gibson County Health Department Southwestern Respiratory Drug-Free Indiana Disease Program Healthy Families Woodlawn Hospital Gibson County Sheriff Toyota The Streamliner Restaurants Big Brothers/Big Sisters of Fulton County Gibson County Step Ahead, Inc. Tulip Tree Health Services Kiwanis Club of Rochester Gibson County Youth Alliance Women, Infants, Children Program Gibson General Hospital Youth First Coalition Coordinator: Governor's Commission for Youth Service Bureau Fulton County Health Department a Drug-Free Indiana Linda Lukens Petersen 125 East 9th Street Coalition Coordinator: Rochester, IN 46975 Gibson County Health Department 574.223.5152 (Phone) Martha Caine 574.223.5152 (Fax) 614 Southeast Third Street [email protected] Evansville, IN 47713 812.476.1471 (Phone) 812.401.4199 (Fax) [email protected]
126 2004-2005 ANNUAL REPORT
Grant County Greene County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central-east: 31.8% Regional smoking prevalence: Central-west: 33.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 27.6% Percent of women in County who report smoking during pregnancy: 25.2%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Sheriff Department All County Buildings County Office Building City Buildings City Buildings None Reported All Offices School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Bloomfield School District Oak Hill United School Corporation Eastern Greene Schools Hospitals Linton-Stockton School Corporation No Smoke-free Hospital Campus Reported White River Valley School District Parks/Recreational Facilities Hospitals Hogin Park No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities None Reported None Reported Other County Funding 01/01/03-12/31/03: $77,300 None Reported County Funding 01/01/04-06/30/05: $92,760 County Funding 01/01/03-12/31/03: $52,000 Community-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $47,430 Community School of the Arts Madison Grant Jr.-Sr. High School Dana Corporation Marion Family Practice Community-based Tobacco Control Coalition DART (Drug and Alcohol Resource Team) Marion General Hospital Bloomfield Church of God Linton-Stockton Schools Eastbrook FFA Marion High School Bloomfield Schools Middle Way House Eastbrook Jr.-Sr. High School Marion Public Library Eastern Greene Schools Step Ahead Council Family Services Mayor's Office Family Life Center Substance Abuse Task General Motors Corporation Milestone Services Force/Local Coordinating Council Grace Community Church Mississinewa High School Greene County Drug and Alcohol The Boys and Girls Club of Greene Grant County 4-H Mt. Olive Methodist Church County/Youth Service Bureau Grant County Health Department Oak Hill Jr.-Sr. High School Greene County General Hospital White River Valley Hope Club Grant County YMCA Parks and Recreation Dept. Greene County Home Health Care White River Valley Schools Hispanic Round Table Sheriff's Department Greene County Probation Office Indiana Wesleyan University Taylor University Ivy Tech State College VA Hospital Coalition Coordinator: Sarah Riggins Coalition Coordinator: 31 West Main Street Grant County Health Department Bloomfield, IN 47424 Lisa Rapp 812.384.4538 (Phone) 401 South Adams Street 812.847.9601 (Fax) Marion, IN 46953 [email protected] 765.651.2401 (Phone) 765.651.2419 (Fax) [email protected]
127 2004-2005 ANNUAL REPORT
Hamilton County Indiana Latino Institute – Hamilton Latino Tobacco Control
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: Central-Indy: 28.6% County Funding 01/01/04-06/30/05: $742,828 (Total ILI funding for coalitions in 11 counties) Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Ruth Buechlein, Carmel High School Ed Mendoza, Westfield Washington Schools Percent of women in County who report smoking during pregnancy: 6.7% Dave Rodriguez, Grace Community Church Pastor Arnaldo Graneros, Iglesia Wesleyana Amidtad Cristiana Tobacco-Related Policies Norman Wilson, Wesleyan World Missions in Ministry Andrea Stumpf, City of Carmel County Buildings George Kristo, Hamilton County Council on Alcohol and Other Drugs County Courthouse Rosana De Jesus, Our Lady of Mount Carmel Parish Government and Judicial Center City Buildings Coalition Coordinator: Cicero Government Buildings Gloria Dehney Noblesville Government Buildings 2918 East 136th Street Fishers Government Buildings Carmel, IN 46033 Westfield Government Buildings 317.848.9378 (Phone) Carmel City Hall [email protected] School Districts with Tobacco-free Campuses No Schools with Tobacco-free Campuses Hospitals Riverview Hospital Parks/Recreational Facilities None Reported Other 4-H Buildings
County Funding 01/01/03-12/31/03: $239,272 County Funding 01/01/04-06/30/05: $119,153
Community-based Tobacco Control Coalition American Cancer Society Hamilton County Prosecutor's Office Carmel City Court Hamilton County Sheriff Carmel Mayor's Office Hamilton Superior Court 4 Carmel Schools Jane Deeds Carmel City Police Department Kristo Psychological Services Hamilton County Community Corrections Latino Tobacco Control of Hamilton County Hamilton County Council on Alcohol Lifestyle Consulting and Other Drugs Hamilton County Courts Noblesville City Court Hamilton County Health Department Prevail Hamilton County Probation Sheridan Schools
Coalition Coordinator: Hamilton County Council on Alcohol and Other Drugs George Kristo One Hamilton County Square, Suite 29 Noblesville, IN 46060 317.776.8429 (Phone) 317.776.8413 (Fax) [email protected]
128 2004-2005 ANNUAL REPORT
Hancock County Hancock County D.A.R.E. Officer Mt. Vernon Community School Corp. Hancock County Health Department Neighborhoods Against Substance Indiana adult smoking prevalence: 24.9% Abuse (NASA) Hancock County Prosecutor's Office Phil Samuels Regional smoking prevalence: Central-Indy: 28.6% Hancock County Purdue Extension Southern Hancock Community School Corporation Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Coalition Coordinator: Hancock Memorial Hospital and Health Services Percent of women in County who report smoking during pregnancy: 15.9% Brandee Bastin 180 W.est Muskegon Drive Tobacco-Related Policies Greenfield, IN 46140 317.468.4162 (Phone) County Buildings 317.468.6201 (Fax) All County Buildings [email protected] Courthouse City Buildings Greenfield City Buildings Fortville Town Buildings New Palestine Town Buildings School Districts with Tobacco-free Campuses Greenfield-Central Community Schools Southern Hancock Co. Comm. School Corporation Mt. Vernon Community Hospitals Hancock Memorial Hospital Parks/Recreational Facilities Greenfield Parks Department Buildings The Blaze Roller Rink Building Other Eli Lilly and Co. – Buildings and Grounds Buck Creek Township Government Buildings and Grounds Greenfield Fire Department Buildings Sugar Creek Fire Department Buildings Hancock Telecom - Buildings and Grounds
County Funding 01/01/03-12/31/03: $66,300 County Funding 01/01/04-06/30/05: $79,000
Community-based Tobacco Control Coalition American Heart Association Hancock Health Ministries American Red Cross Hancock Hope House American Cancer Society Hancock Memorial Hospital and Health Services Amity United Methodist Church Hancock Memorial Hospital Foundation Boys and Girls Club of Hancock County Hancock Memorial Hospital Pastoral Care Brandywine Dental Group Hancock OB/GYN Heather Davis Hancock Telecom Eastern Hancock Community Healthy Families School Corporation Eli Lilly & Company James Clark First Steps/Steps Ahead Janeen Younce Insurance Agency Fortville Police Department Karen Clark Greenfield Fire Department Marilyn Levering Greenfield-Central Community Mental Health Association School Corporation in Hancock County
129 2004-2005 ANNUAL REPORT
Harrison County Hendricks County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southeast: 30.5% Regional smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 23.6% Percent of women in County who report smoking during pregnancy: 12.6%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All Government Buildings All County Buildings City Buildings City Buildings Corydon Town Hall Avon City Buildings School Districts with Tobacco-free Campuses Brownsburg City Buildings Lanesville Community School Corporation Danville City Buildings North Harrison Community School Corporation Plainfield City Buildings South Harrison Community Schools School Districts with Tobacco-free Campuses Hospitals Avon Community School Corporation No Smoke-free Hospital Campus Reported Brownsburg Community School Corporation Parks/Recreational Facilities Mill Creek Community School Corporation Harrison County City Parks Hospitals Other Hendricks Regional Health None Reported Clarian West Medical Center Parks/Recreational Facilities County Funding 01/01/03-12/31/03: $53,400 Parks County Funding 01/01/04-06/30/05: $63,876 Other None Reported Community-based Tobacco Control Coalition Bethesda United Methodist Church Harrison County Step Ahead Council County Funding 01/01/03-12/31/03: $128,500 Big Brother Big Sisters of Harrison County Harrison County Substance Abuse County Funding 01/01/04-06/30/05: $27,271 and Prevention Coalition/LCC Corydon Rotary Club JWC Appraisals, Inc. Community-based Tobacco Control Coalition Elizabeth United Methodist Church Lanesville Community School Corp. American Cancer Society Hendricks Regional Health Governor's Commission for Lanesville High School Avon United Methodist Church Hendricks Regional Health a Drug-Free Indiana Cancer Committee Indiana Criminal Justice Institute VOICE/SADD Chapter Brownsburg Community Schools Hendricks County Harrison County Circuit Court Probation/Court Life Spring, Inc. Sheriff’s Department Harrison County Community Services North Harrison Community School Corp. Brownsburg Police Department Mental Health Association of Harrison County Healthy Families/ South Harrison Community Hendricks County Blue River Services, Inc. School Corporation Clarian West Medical Center Sports & More Youth Harrison County Health Department St. John's Lutheran School Newspaper publication Harrison County Hospital St. Joseph's Catholic School Danville Community Schools The Republican Newspaper Harrison County Hospital Foundation American Cancer Society Edward Jones Investments Totally Against Tobacco Use Harrison County Maternal and Child Health The Corydon Democrat Hendricks County Health Department Cummins Mental Health
Coalition Coordinator: Coalition Coordinator: Harrison County Hospital Hendricks County Health Department Jennifer Riley Michael McDonald 245 Atwood Street 355 South Washington Street, #210 Corydon, IN 47112 Danville, IN 46122 812.738.8708 (Phone) 317.828.9248 (Phone) 812.738.7829 (Fax) 317.718.4541 (Fax) [email protected] [email protected]
130 2004-2005 ANNUAL REPORT
Henry County Howard County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central-east: 31.8% Regional smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 23.1% Percent of women in County who report smoking during pregnancy: 22.9%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse All County Buildings City Buildings City Buildings New Castle City Building Kokomo Cultural Center School Districts with Tobacco-free Campuses Kokomo City Buildings No Schools with Tobacco-free Campuses School Districts with Tobacco-free Campuses Hospitals Kokomo-Center Township Schools No Smoke-free Hospital Campus Reported Western School Corporation Parks/Recreational Facilities Hospitals None Reported No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities None Reported Kokomo City Parks Other County Funding 01/01/03-12/31/03: $62,100 None Reported County Funding 01/01/04-06/30/05: $74,520 County Funding 01/01/03-12/31/03: $84,300 Community-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $100,911 Blue River School Henry County Health Department Community-based Tobacco Control Coalition Henry County Probation American Cancer Society Partners for a Healthier Community Henry County Sheriff's Department Chrysler Renewal Treatment Center Shenandoah Schools Family Service Association St. Joseph Hospital South Henry School Howard County Health Department UAW Howard Regional Health System Western Coalition Coordinator: Kokomo Housing Authority YMCA Henry County LCC/ARIES Minority Health Coalition Olene Veach 2881 North County Road 300 W Coalition Coordinator: New Castle, IN 47362 St. Joseph Hospital 765.533.4205 (Phone) Joy Edwards 765.593.6653 (Fax) 1907 West Sycamore Street, P.O. Box 9010 [email protected] Kokomo, IN 46904 765.456.5941 (Phone) 765.456.5815 (Fax) [email protected]
131 2004-2005 ANNUAL REPORT
New Perspectives Minority Health Coalition of Howard County, Inc. Huntington County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $33,800 Regional smoking prevalence: Northeast: 25.1% County Funding 01/01/04-06/30/05: $21,410 Indiana youth smoking prevalence: Middle School- 7.8% Babies Delight High School- 21.3% Barber and Beautician Group Bonavista – Kid’s Solution Percent of women in County who report smoking during pregnancy: 24.2% BIT Consulting Gilead House Tobacco-Related Policies Indiana Health Center at Kokomo NAACP County Buildings Second Missionary Baptist Church Jail Straitgate Ministries Courthouse Tonca Watters City Buildings Texas Migrant Council Huntington Street Department Huntington City Buildings Coalition Coordinator: School Districts with Tobacco-free Campuses Ronald H. Stubbs Huntington County Community School Corporation 220 East Sycamore Street, Suite L Hospitals Kokomo, IN 46901 No Smoke-free Hospital Campus Reported 765.868.9804 (Phone) Parks/Recreational Facilities 765.868.9807 (Fax) Huntington City Parks [email protected] YMCA Other Huntington College
County Funding 01/01/03-12/31/03: $55,700 County Funding 01/01/04-06/30/05: $56,840
Community-based Tobacco Control Coalition Bowen Center Huntington County Council Boy Scouts of America Huntington County Health Department Christian Life Tabernacle Huntington County Parks Department Family Centered Services Huntington County Probation Governor's Commission for Huntington County Sheriff's Department a Drug Free Indiana Huntington City Police Department Huntington North High School Huntington College Parkview-Huntington Hospital Huntington County Chamber of Commerce Riverview Middle School Huntington County Child Protective Services Youth Services Bureau Huntington County Coroner
Coalition Coordinator: Local Anti-Drug Coalition Effortts (L.A.C.E.) Melissa Phillips P.O. Box 5204 Huntington, IN 46750 260.358.0175 (Phone) 260.358.0175 (Fax) [email protected]
132 2004-2005 ANNUAL REPORT
Jackson County Jasper County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southeast: 30.5% Regional smoking prevalence: Northwest: 28.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 23.5% Percent of women in County who report smoking during pregnancy: 20.7%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse Jail City Buildings City Buildings Rensselaer City Hall Seymour City Hall Kentland Town Hall Seymour City Fire School Districts with Tobacco-free Campuses Seymour City Police No Schools with Tobacco-free Campuses School Districts with Tobacco-free Campuses Hospitals No Schools with Tobacco-free Campuses No Smoke-free Hospital Campus Reported Hospitals Parks/Recreational Facilities No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Other None Reported St. Joseph College Other None Reported County Funding 01/01/03-12/31/03: $50,800 County Funding 01/01/04-06/30/05: $99,440 (amount divided between County Funding 01/01/03-12/31/03: $57,700 Jasper and Newton counties) County Funding 01/01/04-06/30/05: $69,240
Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition Brownstown High School Seymour Boys and Girls Club 4-H Advisor Marcia Woods Smith Crothersville High School Seymour Chamber of Commerce DFC Myrtle's Menagerie First Nazarene Seymour High School Family Focus North Newton Schools Girls, Inc. Seymour Noon Lions Healthy Families Rensselaer Central Schools Jackson County Health Department Seymour Rotary Hillcrest Dental South Newton Schools Schneck Medical Center St. Ambrose Church Jasper County Hospital Tri County Schools Kankakee Valley Schools WIC Coalition Coordinator: Boys & Girls Club of Seymour Coalition Coordinator: Jeff Joray Debbie Bowsher 950 North O’Brien P.O. Box 508 Seymour, IN 47274 Peru, IN 46970 812.524.1208 (Phone) 765.473.4640 (Phone) 812.524.1856 (Fax) [email protected] [email protected]
133 2004-2005 ANNUAL REPORT
Jay County Jefferson County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central-east: 31.8% Regional smoking prevalence: Southeast: 30.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 19.5% Percent of women in County who report smoking during pregnancy: 28.9%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All County Buildings Courthouse City Buildings City Buildings Portland City Building Vevay Town Hall Dunkirk City Building Hanover City Building Redkey City Building Madison City Hall Bryant City Building School Districts with Tobacco-free Campuses Pennville City Building No Schools with Tobacco-free Campuses School Districts with Tobacco-free Campuses Hospitals No Schools with Tobacco-free Campuses No Smoke-free Hospital Campus Reported Hospitals Parks/Recreational Facilities No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Other None Reported None Reported Other None Reported County Funding 01/01/03-12/31/03: $51,800 County Funding 01/01/04-06/30/05: $79,720 (amount divided between County Funding 01/01/03-12/31/03: $45,800 Jefferson and Switzerland counties) County Funding 01/01/04-06/30/05: $34,579 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition American Cancer Society Madison Correctional Facility Jay County Health Department Belterra Casino and Resort Madison Precision Jay County Hospital Boys and Girls Club Reliance Electric Jay School Corporation Coalition Against Substance Abuse Southwestern Jefferson County Schools United Way Community Foundation Switzerland County Awareness Team VOICE Community Mental Health Center Switzerland County Schools Youth Service Bureau GEMS Program Team Kid Tuesday Program Hanover Baptist Church Vevay Assembly Church Coalition Coordinator: Health Department Vevay Police Jay County Hospital King's Daughters' Hospital YMCA Kristen Spahr and Health Services 500 West Votaw Street Life Springs Youth Shelter Portland, IN 47371 Madison Consolidated Schools 260.726.1925 (Phone) 260.726.1976 (Fax) Coalition Coordinator: [email protected] King’s Daughter’s Hospital & Health Services Kim Crawford One King’s Daughter’s Drive Madison, IN 47250 812.265.0598 (Phone) 812.265.0291 (Fax) [email protected]
134 2004-2005 ANNUAL REPORT
Jennings County Johnson County Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9% Regional smoking prevalence: Southeast: 30.5% Regional smoking prevalence: Central-Indy: 28.6% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Percent of women in County who report smoking during pregnancy: 28% Percent of women in County who report smoking during pregnancy: 17.8% Tobacco-Related Policies Tobacco-Related Policies County Buildings County Courthouse County Buildings County Office Buildings County Office Building City Buildings County Courthouse North Vernon City Hall City Buildings North Vernon Police Department Greenwood City Hall School Districts with Tobacco-free Campuses Edinburgh Town Hall No Schools with Tobacco-free Campuses Prince’s Lakes Town Hall Hospitals Whiteland Town Hall No Smoke-free Hospital Campus Reported Trafalgar Town Hall Parks/Recreational Facilities New Whiteland Town Hall None Reported Bargersville Town Hall Other Franklin City Building None Reported School Districts with Tobacco-free Campuses Nineveh-Hensley-Jackson School Corporation County Funding 01/01/03-12/31/03: $49,300 Clark-Pleasant Community School Corporation County Funding 01/01/04-06/30/05: $50,000 Edinburgh Community School Corporation Hospitals Community-based Tobacco Control Coalition Johnson Memorial Hospital Drug and Alcohol Task Force St. Francis JC Public Health Department Parks/Recreational Facilities Jennings County Library None Reported Jennings County Middle School Other North Vernon Police Department None Reported St. Vincent Jennings Hospital County Funding 01/01/03-12/31/03: $135,300 Jennings County WIC County Funding 01/01/04-06/30/05: $162,360
Coalition Coordinator: Community-based Tobacco Control Coalition Cindy Corya American Cancer Society Greenwood Schools St. Vincent Jennings Hospital American Health Network Hendricks Hospital 307 Henry Street Brian Lowe, Atty. Indian Creek Schools North Vernon, IN 47265 Center Grove Schools Janie Adcock 812.352.4209 (Phone) Central 9 Career Center JMH Health Affiliates [email protected] Christine Brooks Johnson County Citizens Against Substance Abuse Clarian Health Partners Johnson County Community Corrections Clark Pleasant Schools Johnson County Health Department Community Health Network Johnson County Juvenile Detention Center Cornerstone Church Johnson County Juvenile Probation Doreen St. Clair Johnson County Special Services Dorothy Rainey Johnson Memorial Hospital Dr. Richard Huber Nikole Huffman Edinburgh Schools Nineveh Christian Church Fairbanks Hospital Samaria Christian Church Franklin Boys and Girls Club Separate Baptist Church Franklin City Court Smokefree Indiana
Continued... 135 2004-2005 ANNUAL REPORT
Franklin College St. Francis Hospital and Knox County Health Centers Franklin Insurance St. Vincent Hospital Indiana adult smoking prevalence: 24.9% Franklin Kroger Susie Hooton Franklin Police Department Trafalgar and Edinburgh Family Regional smoking prevalence: Southwest: 26.8% Health Center Franklin Schools United Way of Johnson County Indiana youth smoking prevalence: Middle School- 7.8% Franklin United Methodist Community Westview Hospital High School- 21.3% Girl Scouts Whosoever Will Church Girls, Inc. Wishard Hospital Percent of women in County who report smoking during pregnancy: 32.1% Greenwood City Court Tobacco-Related Policies Coalition Coordinator: Johnson County Health Foundation County Buildings Jane Blessing Courthouse 1125 West Jefferson Street, Suite V Annex Franklin, IN, 46131 County Jail 317.736.2657 (Phone) City Buildings 317.346.3738 (Fax) Bicknell City Building [email protected] Vincennes City Hall Vincennes City Jail School Districts with Tobacco-free Campuses No Schools with Tobacco-free Campuses Latino Resources Dev. Team/Partnership for a Healthier Johnson County Hospitals Good Samaritan Hospital Minority-based Tobacco Control Coalition Parks/Recreational Facilities Vincennes Park and Recreational Building County Funding 01/01/03-12/31/03: $14,400 Other County Funding 01/01/04-06/30/05: $14,700 None Reported
Access Johnson County County Funding 01/01/03-12/31/03: $56,400 Adult and Child Health Center County Funding 01/01/04-06/30/05: $50,760 C & C Laundry City of Franklin Police Department Community-based Tobacco Control Coalition Edinburgh Family Health Center American Cancer Society South Knox School Corporation Emmanuel Baptist Church Children and Family Services Vincennes Catholic Schools Franklin College Girl Scouts of Shagbark Vincennes Community School Corporation Johnson County Courts Good Samaritan Hospital Vincennes Fire Fighters Franklin Insurance Agency Indiana Excise Police Vincennes University Gateway Services North Knox High School Vincennes YMCA Johnson Memorial Hospital Johnson County Community Corrections Coalition Coordinator: Johnson County Health Department Good Samaritan Hospital Johnson County Public Library Jennifer Brown OB/GYN of South Central Indiana 2010 College Avenue Partnership For a Healthier Johnson County Vincennes, IN 47591 St. Francis Hospital & Health Centers 812.895.9622 (Phone) Turning Point 812.895.9223 (Fax) United Way of Johnson County [email protected] Coalition Coordinator: Jane Blessing 1125 West Jefferson, Suite V Franklin, IN 46131 317.736.2657 (Phone) 317.346.3738 (Fax) [email protected]
136 2004-2005 ANNUAL REPORT
Kosciusko County Cardinal Center for Sus Amigos
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: North-central: 25.1% County Funding 01/01/03-12/31/03: $32,400 County Funding 01/01/04-06/30/05: $16,800 Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Paul J. Pegues, IV Bobbi Burkhart , Boys & Girls Club Percent of women in County who report smoking during pregnancy: 19.7% Julia Fugate Hallie Pierce Tobacco-Related Policies Kurt Carlson-CEO, Bowen Center Martha Sell, East Center Dental County Buildings Ralph Villalon, Lake City Bank Justice Building Sister Joan Hasteiter, Spanish Ministry County Courthouse Steve Swinehart City Buildings Yesenia Cruz None Reported School Districts with Tobacco-free Campuses Coalition Coordinator: Tippecanoe Valley School Corporation Yesenia Cruz Hospitals 850 North Harrison Street No Smoke-free Hospital Campus Reported Warsaw, IN 46580 Parks/Recreational Facilities 574.267.7169 (Phone) None Reported 574.269.3995 (Fax) Other [email protected] Grace College
County Funding 01/01/03-12/31/03: $77,700 County Funding 01/01/04-06/30/05: $63,240
Community-based Tobacco Control Coalition Bobbi Burkhart , Boys & Girls Club David Morales-School Police, Warsaw High School Joe Hawn – Warsaw Police Department (DARE) Timothy Sammons – Pierceton Police Department (DARE) Malcolm Gilbert – Winona Lake Police Department Ruchele Sammons – Kosciusko Coalition on Drug Education Danny Hall – Winona Lake Police Department Lance Grubbs – Governor’s Council on Impaired and Dangerous Driving Viv Eidemiller – Edgewood Middle School (Health/Physical Education) Deborah Frank – Kosciusko County Health Department Mary Arnott – Bowen Center Denise Ferguson – Governor’s Commission for a Drug-Free Indiana Kristin Everett – American Cancer Society Marsha Streby – Bowen Center Rich Miotto – Milford Police Department Connie Overmeyer – Tippecanoe Valley Schools Nurse Megan Lukenbill – Kosciusko Community Hospital Health & Wellness Center Jolene Morrow – Kosciusko Leadership Academy / Mutual Federal Savings Bank Brett Boggs – Tippecanoe Valley Schools Craig Allebach – Warsaw Community School Board / Winona Lake Town Manager Tracey George – Kosciusko County 4-H / Purdue Extension Office
Coalition Coordinator: Kosciusko County Government Bobbi Burkhart 800 North Park Avenue Warsaw, IN 46580-2941 574.268.1155 (Phone) 574.268.1370 (Fax) [email protected]
137 2004-2005 ANNUAL REPORT
LaGrange County Lake County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Northeast: 25.1% Regional smoking prevalence: Northwest: 28.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 9.6% Percent of women in County who report smoking during pregnancy: 15.4%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse Annex County Office Buildings City Buildings City Buildings Topeka City Building Crown Point City Hall Shipshewana City Building East Chicago City Hall LaGrange City Building Hammond City Hall School Districts with Tobacco-free Campuses Whiting City Hall Lakeland Schools Gary City Hall Prairie Heights Community School Corporation School Districts with Tobacco-free Campuses Westview Schools Gary Community School Corporation Hospitals Hanover Community School Corporation No Smoke-free Hospital Campus Reported Hospitals Parks/Recreational Facilities No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Other None Reported None Reported Other None Reported County Funding 01/01/03-12/31/03: $53,800 County Funding 01/01/03-12/31/03: $425,600 County Funding 01/01/04-06/30/05: $36,490 County Funding 01/01/04-06/30/05: $510,720 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition Camp Potawotami Lakeland Schools 151st Street Teen Scene Hobart High School Centro VIDA Mentor Moms American Cancer Society LaCasa Crisis Pregnancy Center Park Department American Heart Association Lake County Clerks Community-In-Schools/Westview Prairie Heights Schools Bible Way Church of God's Word Lake County Corners Cornerstone of Recovery Probation/Suspension School Boys & Girls Club Lake County Sheriff's Department Crisis Pregnancy Center Shipshewana Police Department Carpenters Union Lake County Small Business Assoc. Healthy Families The Shed Clark Road Baptist Church MIT School for Life LaGrange County Community Hospital Youth Assets Council Communities in Schools Moving in the Spirit School for Life Crisis Center North/South Methodist Hospital Coalition Coordinator: East Chicago Central High School NWI Wellness Council LaGrange County Government East Chicago Housing Authority Pilgrim Baptist Church Dave Bell Faith Temple Church of God in Christ Salvation Army 229 River Run Court First Attending Urgent Care Center Shaw Friedman & Associates Columbia City, IN 46725 Franciscan Community Holy Family Smokefree Indiana 260.336.9349 (Phone) Care Center Edgewater 260.248.4799 (Fax) Gary Chamber of Commerce St. Anthony Hospital [email protected] Gary Community Health Foundation St. Mary Hospital Gary Neighborhood Services Tri-City Mental Health Gary Southshore RailCats WGVE Radio Station Gary Steelheads Basketball WJOB Radio Station Golden Recognition YFCR Golden Wings Youth Service Bureau Healthy East Chicago Coalition Coordinator: Southlake Tri City Management Corporation DBA Geminus Cynthia Sampson 8400 Louisiana Merrillville, IN 46410 219.757.1866 (Phone) 219.757.1856 (Fax) [email protected] 2004-2005 ANNUAL REPORT
Gary Community Health Foundation, Inc. LaPorte County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/04-06/30/05: $561,200 Regional smoking prevalence: Northwest: 28.5% Smoke-free Indiana Clark Road Genesis Family Center Interfaith Clergy Council of Golden Recognition Indiana youth smoking prevalence: Middle School- 7.8% Gary and Vicinity Life Savers High School- 21.3% Hillcrest Selfology Institute Salvation Army Adult Gary City Court Rehabilitation Center Percent of women in County who report smoking during pregnancy: 24.2% Partnership for a Drug-free Lake County KnB Enterprise Gary Neighborhood Services Calumet Township Trustee Tobacco-Related Policies Gary Community Health Foundation Midnight Basketball National Medical Association of NWI American Cancer Society County Buildings Geminus Corporation Health Visions Midwest All County Buildings Images of Hope/First Baptist Church Provisions Educational Network City Buildings TTI America Gary Fire Department Westville Town Hall Gary Police Department Gary Health Department Michigan City City Hall Indiana Carpenters Association Bibleway Inspire Faith Temple LaPorte City Hall La Casa Su casa, Inc. Gary Common Council School Districts with Tobacco-free Campuses New Durham Community Schools Coalition Coordinator: New Prairie Schools Irene Boone Phillips Hospitals 3300 West 15th Avenue No Smoke-free Hospital Campus Reported Gary, IN 46404 Parks/Recreational Facilities 219.977.8171 (Phone) Michigan City City Parks 219.977.1955 (Fax) LaPorte City Parks [email protected] Other None Reported ILI – International Institute LACASA Minority-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $132,200 County Funding 01/01/04-06/30/05: $158,640 County Funding 01/01/04-06/30/05: $742,828 Community-based Tobacco Control Coalition (Total ILI funding for coalitions in 11 counties) Raul Sanchez, International Institute Su Casa American Cancer Society LaPorte YMCA Victoria Varela, International Institute Su Casa Boys & Girls Club of Michigan City Michigan City Area Schools Sara Lopez, International Institute Su Casa Safe Harbor After School Program Guadalupe Valtierra, Chancellor Ivy Tech State Collage, Gary Campus CASA/ Harmony House Minority Health Coalition Cynthia Rivas, Healthy East Chicago Martin Luther King Center City of LaPorte, Mayor Leigh Morris Guadalupe Gutierrez, Promotora de Salud Open Door Adolescent Clinic Drug Free Partnership Roger Cavascos, Boys and Girls Club Project HOPE Dunebrook-Healthy Families Mara Reardon-Candelaria, Drug Free Alliance St. Anthony Memorial Health Centers and PSUPP Angelica Quiñonez, Sigma Lamda Gamma Sorority Family Focus Inc. Swanson Center Eva Quiroz, Promoters de Salud Maternal e Infantil Will Friedricks, Geminus Healthcare Alliance for Value Teen Court Eliza Vela, Gary Neighborhood Services and Effectiveness Tamiza Singh, Girl Scouts of the Calumet Council LaCrosse Schools TPC Indiana Carpenters Martha Cortes-Perez, The Aliveness Project of Northwest Indiana LaPorte Community School Corporation United Way of LaPorte County Sheila George, MOTTEP Minority Organ Tissue Transplant Ed. Prog LaPorte County Health Department Youth Service Bureau Scott Fech, Bishop Noll Institute LaPorte Regional Health System LaPorte YMCA LeRoy Miller, Calumet High School Dr. Juan M. Anaya, Clark Middle/High School Coalition Coordinator: Ryan Pitcock, Principal, Crown Point Senior High School Healthy Communities of LaPorte County Doloris Lakich, East Chicago Central High School Charles Hall, Gavitt Middle/High School Sandra Gleim Cassell White, Hammond High School 800 Lincolnway Suite 201 Michael Milich, Joseph L. Jr. High School LaPorte, IN 46350 David Allen, West Side Jr. High School 219.326.6260 (Phone) Theresa Mayerik, Morton High School 219.326.2512 (Fax) Judith Herrera, Our Lady of Guadalupe Youth Group [email protected] Mildred Santos, St. Mary’s Youth Group Marilyn A. Baron, St. Patricks Youth Group
Coalition Coordinator: Raul Sanchez 4433 Broadway Gary, IN 46409 219.980.4636 (Phone) 139 [email protected] 2004-2005 ANNUAL REPORT
Helping Our People Excel, Inc. Lawrence County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $54,700 Regional smoking prevalence: Southwest: 26.8% County Funding 01/01/04-06/30/05: $56,700 Indiana youth smoking prevalence: Middle School- 7.8% Helping Our People Excel, Inc. High School- 21.3% Martin Luther King Center Superior Family Health Services Percent of women in County who report smoking during pregnancy: 25.2% Images Human Services Network El Puente Community Center Tobacco-Related Policies Operation Fellowship Minority Health Coalition County Buildings Commission on the Social Status of African American Males Courthouse Sheriff Department Coalition Coordinator: City Buildings Rebecca Williams Bedford City Hall P.O. Box 164, 112 York Street Bedford City Police Michigan City, IN 46361 Mitchell City Hall 219.874.4606 (Phone) School Districts with Tobacco-free Campuses 219.874.4641 (Fax) North Lawrence Community Schools [email protected] Hospitals No Smoke-free Hospital Campus Reported Parks/Recreational Facilities Bedford City Parks Mitchell City Parks Other None Reported
County Funding 01/01/03-12/31/03: $60,500 County Funding 01/01/04-06/30/05: $72,600
Community-based Tobacco Control Coalition Bedford North Lawrence High School Lawrence County Juvenile Probation Department Bedford Police Department- Bedford DARE Lawrence County Youth for Christ Bedford Public Library Lawrence County Youth Network Bedford Regional Medical Center Mitchell Community Schools Bedford Urban Enterprise Zone Association Mitchell High School SADD Dunn Community Health and Wellness Mitchell Police Department Center/WIC GM Powertrain North Lawrence Community Schools Hoosier Uplands Redirect: Lawrence County Juvenile Drug Court Lawrence County 4-H Fair Board Tri Kappa Sorority Lawrence County Health Department UAW Local 440
Coalition Coordinator: Hoosier Uplands Economic Development Corp. Allison Moore 1602 I Street, Suite 2 Bedford, IN 47421 812.275.3182 (Phone) 812.275.5116 (Fax) [email protected]
140 2004-2005 ANNUAL REPORT
Madison County Minority Health Coalition of Madison County
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: Central-Indy: 28.6% County Funding 01/01/03-12/31/03: $49,400 County Funding 01/01/04-06/30/05: $51,450 Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Allen Chapel A.M.E Church Alternatives, Inc. Madison County Percent of women in County who report smoking during pregnancy: 27.3% American Cancer Society Anderson Black Expo Tobacco-Related Policies Anderson Center, St. John’s Anderson Community Hospital County Buildings Anderson Community Schools County Office Buildings Anderson Fire Department Health Department Anderson Police Department City Buildings Anthem Blue Cross/Blue Shield Elwood City Building Boys and Girls Club Alexandria City Building Chemical People Task Force Pendleton City Building Chesterfield Police Department Anderson City Police Indiana State Excise Police School Districts with Tobacco-free Campuses Life Steam Services, Inc. South Madison Community School Corporation Madison County Community Foundation Elwood Community School Corporation Madison County Health Department Hospitals Madison Health Partners St. Vincent Mercy Hospital, Inc Madison Child Health Services and WIC Parks/Recreational Facilities Pregnancy Plus Community Hospitals Boys and Girls Club of Madison County Sherman Street Church of God Other St. John’s Hospital Mustin Center for Women Sowers of Seeds Counseling Inc. The Salvation Army Urban League Anderson Fine Arts Center Wallace Temple AME Alexandria Community Center Youth Jam Pendleton Historical Museum YWCA Young Womens Christian Association State Theatre of Anderson Paramount Theatre Center Coalition Coordinator: Anderson Roll Arena Natalie Carter Anderson University 903 South Madison Avenue Anderson, IN 46016 County Funding 01/01/03-12/31/03: $146,300 765.641.8075 (Phone) County Funding 01/01/04-06/30/05: $119,450 765.641.8076 (Fax) [email protected] Community-based Tobacco Control Coalition Alexandria Monroe High School Madison Health Partners American Cancer Society Minority Health Coalition American Heart Association Pendleton Heights High School Chemical People Task Force Pendleton Towne Court Community Hospital Anderson Pregnancy Plus Prenatal Substance Use Prevention Elwood Community High School St. John's Health System Elwood Community Middle School St. Vincent Mercy-Elwood Frankton Jr./Sr. High School The Center for Mental Health Life Stream Services UAW-Delphi Lifesteps Program Madison County Health Department Youth Leadership Academy of Madison County
Coalition Coordinator: Healthy, Tobacco-Free Madison County, Inc. Karesa Knight 1220 Meridian Street Anderson, IN 46016 765.683.0452 (Phone) 765.683.0462 (Fax) [email protected] 141 2004-2005 ANNUAL REPORT
Marion County Drug Free Marion County Prenatal Substance Use Prevention Program (PSUPP)- Indiana adult smoking prevalence: 24.9% Flanner House of Indianapolis Indiana State Department of Health HealthNet, Inc. Reach for Youth, Inc. Regional smoking prevalence: Central-Indy: 28.6% Indiana Academy of Family Physicians Ruth Lilly Health Education Center Indiana Black Expo, Inc. Smokefree Indiana Indiana youth smoking prevalence: Middle School- 7.8% TCI, Inc. St. Florian Center High School- 21.3% Indiana Latino Institute Wishard Health Services Indiana Youth Group Wishard Health Services, Percent of women in County who report smoking during pregnancy: 18.2% IU, School of Medicine, Department Wishard Hispanic Health Project of Family Medicine, Bowen Research Center Tobacco-Related Policies Little Red Door Cancer Agency
County Buildings Coalition Coordinator: All County Buildings Health & Hospital Corporation of Marion County City Buildings Elizabeth Sumpter Indianapolis City Buildings 3838 North Rural Street Indianapolis Fire Department Buildings Indianapolis, IN 46205 School Districts with Tobacco-free Campuses 317.221.3099 (Phone) Flanner House Elementary Schools 317.221.3114 (Fax) Flanner House Learning Inc. [email protected] Franklin Township Community School Corporation MSD Decatur Township St. Florian Center Inc. MSD Lawrence Township MSD Perry Township Minority-based Tobacco Control Coalition MSD Warren Township MSD Washington Township County Funding 01/01/03-12/31/03: $150,000 School Town of Speedway County Funding 01/01/04-06/30/05: $130,500 Hospitals St. Vincent Hospital & Health Services Christ Church of Holiness Clarian Health Partners, Inc. East 10th United Methodist Children + Youth Center, Inc. Community Hospital South Indianapolis Black Firefighters Association Community Hospital East Mary Rigg Neighborhood Center Community Hospital North McClendon Tabernacle CME Church Fairbanks Hospital Inc. Phillips Temple CME Church Heart Center of Indiana S.E.E.D. Program Indiana Heart Hospital St. Florian Center Kindred Hospital Steward Memorial C.M.E. Church Larue Carter Memorial Hospital Rehabilitation Hospital of Indiana Coalition Coordinator: Rehabilitation Hospital of Indiana at St. Vincent St. Florian Center Select Specialty Hospital-Beech Grove Anthony Williamson Select Specialty Hospital-Indianapolis 2511 East 46th Street, Suite P-1 St. Elizabeth Ann Seton Hospital of Indianapolis St. Francis Hospital and Health Centers Indianapolis, IN 46205 St. Vincent Pediatric Rehabilitation Center, Inc. 317.545.6580 (Phone) Westview Hospital 317.545.6588 (Fax) William N Wishard Memorial Hospital [email protected] Parks/Recreational Facilities Indianapolis City Parks Minority Health Coalition of Marion County Other Indianapolis Cultural Centers Minority-based Tobacco Control Coalition Conseco Fieldhouse Indianapolis Airport County Funding 01/01/03-12/31/03: $150,000 Indianapolis Convention Center County Funding 01/01/04-06/30/05: $150,000 RCA Dome Victory Field Hispanic/Latino Minority Health Organization Indianapolis Recorder County Funding 01/01/03-12/31/03: $654,900 United Way: Youth As Resources County Funding 01/01/04-06/30/05: $785,234 WHY – We’re Helping Youth
Community-based Tobacco Control Coalition Coalition Coordinator: Alliance for Health Promotion Little Red Door Cancer Agency Tiffany Nichols American Heart Association Martin University 2855 North Keystone Suite 140 Americna Cancer Society Minority Health Coalition Indianapolis, IN 46228 of Marion County 317.924.6068 (Phone) Asian Help Services Parents of Affordable Child Kare 317.924.9794 (Fax) [email protected] 2004-2005 ANNUAL REPORT
Flanner House Parents for Affordable Child Care
Minority-based Tobacco Control Coalition Minority-based Tobacco Control Coalition
County Funding 01/01/03-12/31/03: $138,000 County Funding 01/01/03-12/31/03: $75,200 County Funding 01/01/04-06/30/05: $152,400 County Funding 01/01/04-06/30/05: $70,000
Indianapolis Chapter, Indiana Black Expo Auntie Mame’s Child Development Center Martin University Fahondzi Sugar Plum Day Care Center St. Florian Center Fuzzie Bear Child Care Center Clarian Health Dena’s Child Care Center Ruth Lilly Health Education Center Laurelwood Family Investment Child Care Center Flanner Elementary School Eastern Star Church Day Care Ministry Flanner House Higher Learning Center Christ Temple Flanner House Multi-service Center Jones Tabernacle American Heart Association Dena’s Airport Child Care Center Red Cross Coalition Coordinator: Coalition Coordinator: Arlana N. Jordan Ann Winston 8307 North Perimeter Road 2424 Dr. Martin Luther King Jr. Street Indianapolis, IN 46241 Indianapolis, IN 46208 317.481.0410 (Phone) 317.925.4231 ext.287 (Phone) 317.481.0004 (Fax) 317.920.4461 (Fax) [email protected] [email protected] Martin Luther King Multi-Service Center Martin University Minority-based Tobacco Control Coalition Minority-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $105,570 County Funding 01/01/03-12/31/03: $200,000 County Funding 01/01/04-06/30/05: $210,000 Clarian Health Forest Manor Middle School Blackburn Clinic Neighborhood Advisory Group Forest Manor Multi-Service Center Emmanuel Baptist Church Martin Luther King Multi-Service Center Flanner House Shortridge Middle School Indiana University Nicotine Dependence Program Indianapolis Chapter, Indiana Black Expo Coalition Coordinator: Indianapolis Public School P. Diane Jackson Little Red Door Cancer Agency 40 West 40th Street Marion County Health Department Indianapolis, IN 46208 Martindale Brightwood Neighborhood Org. 317.923.4581 (Phone) Oasis of Hope Baptist Church 317.923.4583 (Fax) Overcoming Church [email protected] Parents for Affordable Childcare Perry Meridian Middle School Indiana Latino Institute – Wishard Hispanic Health Project St. Rita’s Parish Wishard Stop Smoking Program Minority-based Tobacco Control Coalition
Coalition Coordinator: County Funding 01/01/04-06/30/05: $742,828 Raymone Pierce (Total ILI funding for coalitions in 11 counties) 2171 Avondale Place Indianapolis, IN 46218 Ricardo Iman, Tobacco Health Educator 317.917.3344 (Phone) Gloria Berlanga King, Wishard Hispanic Health Project 317.917.3371 (Fax) Laura Gonzalez, Platicas Para Mujeres [email protected] Gloria Straub, Prenatal Classes Program Mary Cole, Manual High School Jocelyn Gonzalez, Wishard Hispanic Health Project Child Abuse Program Gabriel Gonzalez, Saint Monica Catholic Church Hispanic Adult Youth Group
Coalition Coordinator: Ricardo Iman 101 West 10th Street Indianapolis, IN 46202 317.639.6671 ext. 5804 (Phone) [email protected] 2004-2005 ANNUAL REPORT
Indiana Black Expo Dr. Javier Sevilla, IU School of Medicine, Department of Family Medicine Nora Wilman, Indianapolis Public Schools Statewide Minority-based Tobacco Control Coalition Susana Williams, Christ Church Cathedral Eva Morales, St. Patricks Catholic Chruch Religious Education Coord. County Funding 01/01/03-12/31/03: $132,000 (Indianapolis Chapter only) Haydee Adams, Peruvian Association County Funding 01/01/04-06/30/05: $802,333 (Indiana Black Expo has 11 Yolanda Tlatoa, St. Vincent’s Society of St. Patricks Catholic Church chapters throughout the state to better accommodate the citizens of Indiana. Congresswoman Julia Carson The IBE chapters serve as a tool to better communicate, thus carry out the Marlene Arellano Dotson, IBE mission as a service oriented organization. The IBE chapter cities are: Jose Martinez, Ivy Tech Collage Student Lafayette, Anderson, East Chicago, Elkhart, Evansville, Fort Wayne, Gary, Miriam Acevedo Davis, La Plaza Indianapolis, Kokomo, Muncie and South Bend. These chapter cities also Primo Pimentel, Parent Volunteer received funding for IBE/ITPC programming.) Alejandro Garcia-Barbon, National Latino Council on Alcohol and Tobacco Juan Manuel Pimentel, High School Student Zion Hope Baptist Church Juan Carlos Vega, The Praxis Project Eastern Star Church Cynthia Perez, Student Pogressive Baptist Church Dr. Aida Giachello, Midwest Latino Health Research, Training and Policy Center National African American Tobacco Education Network (NAATEN) Cecilia Acosta, Hispanic Latino Health Coalition of Greater Indianapolis National African American Tobacco Prevention Network (NAATPN) Mary Jo Vasquez, Pacific Institute for Research and Evaluation Interdenomination Ministerial Alliance Vanesa Peñalosa, Y.A.H.O.P. St. Mary’s Catholic Church The Indianapolis Recorder Dr. Jeanette Noltenius, Strategic Solutions. Friendship Baptist Church Gloria Berlanga-King, Wishard Hispanic Health Project Representative Bill Crawford Rebecca Maran, Service Employees International Union, Justice for Janitors Christ Missionary Baptist Church David Parra, La Liga Hispana Corinthian Missionary Baptist Church Maricela Chavez Partida, Costa Alegre Restaurant Ebenezer Missionary Baptist Church Enrique Ruiz, La Liga Hispana First Free Will Baptist Church Hilda Ayala, La Guanaquita Womack Memorial CME Church Ricardo Rosales, Community Volunteer Kaleidoscope Youth Center Consuelo Quiroz, La Macarena Mt. Pisgah Missionary Baptist Church Olga Villa Parra, OVP and Associates Robinson AME Church Rosa Gerra, United Hispanic-Americans, Inc.; Benito Juarez Cultural Center Shiloh Missionary Baptist Church Ricardo Parra, Association of Mexican Leaders in Action ( ALMA) Stewart Memorial CME Church Liliana Hamnik, La Voz de Indiana Newspaper Rodolfo Peñalosa, Community Volunteer Coalition Coordinator: Zulma Prieto, El Puente Newspaper Online Kara Endsley Juventino Estrada, Community Volunteer 3145 North Meridian Street, Suite 100 Rafael Parra, El Coyote Newspaper Indianapolis, IN 46208 Hector Serato, Community Volunteer 317.923.3045 (IMA) Lisa Hutcheson, Indiana Coalition to Reduce Underage Drinking 317.925.6624 (Fax) Anna Hail, Asociación de Mujeres Mexicans [email protected] Coalition Coordinator: Indiana Latino Institute, Inc. Amelia Munoz 445 North Pennsylvania Street, Suite 800 Statewide Minority-based Tobacco Control Coalition Indianapolis, IN 46204 317.472.1055 (Phone) County Funding 01/01/04-06/30/05: $742,828 [email protected] (Total ILI funding for coalitions in 11 counties)
Aida McCammon, Indiana Latino Institute Nives Vian, IU & Wishard Hospital, Assistant Admin. Director Pathology Oscar Morales, Indiana Latino Institute John Cortes, John Edward Insurance Company Maria Luisa Tishner, Indiana Latino Institute Liz Farfan, Shalom Health Center Amelia Muñoz, Indiana Latino Institute Guadalupe Lewis, Urban League Ricardo Iman, IUPUI Department of Foreign Languages and Cultures Dulce Vega, Mexican Consulate Rev. Samuel Ruiz, Lutheran Church Rafael Mendez, Indianapolis Marion County Public Library Carol Johnston, Christian Theological Seminary
144 2004-2005 ANNUAL REPORT
Marshall County Indiana Latino Institute – La Casa de Amistad
Indiana adult smoking prevalence: 24.9% Minority-based Tobacco Control Coalition
Regional smoking prevalence: North-central: 25.1% County Funding 01/01/04-06/30/05: $742,828 (Total ILI funding for coalitions in 11 counties) Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% Martha Brace, Latino Tobacco Control of Marshall County Ken Brace, Volunteer Percent of women in County who report smoking during pregnancy: 17.8% Wendi L. Bendy, Menominee Elementary School Norma Rodriguez, Plymouth School Corporation Tobacco-Related Policies Matthew Feeks, Tobacco Free Marshall County Juan e. Rodriguez, All Saint Catholic Church County Buildings Antonio Alama & Lisettte Olma, La Candelaria General Store All County Buildings Yolanda Quiroz, La Fiesta Mexicana Restaurant City Buildings Jim Hekel, The Pilot News Bremen City Buildings Culver City Buildings Coalition Coordinator: Bourbon City Buildings Martha Brace Argos City Buildings 11176 Pottawatomie Trail Plymouth City Buildings Walkerton, IN 46574 School Districts with Tobacco-free Campuses 574.586.9837 (Phone) Argos Community Schools [email protected] Plymouth Community School Corporation Hospitals St. Joseph Regional Medical Center at Plymouth Community Hospital of Bremen Parks/Recreational Facilities None Reported Other None Reported
County Funding 01/01/03-12/31/03: $60,000 County Funding 01/01/04-06/30/05: $62,080
Community-based Tobacco Control Coalition Argos School Board Marshall County Latino Coalition Bremen Community Hospital Marshall County VOICE Grace United Methodist Church Michiana Contracting Marshall County Cancer Association Saint Joseph Regional Medical Center Marshall County Health Department Women's Care Center
Coalition Coordinator: Women’s Care Center – Plymouth, Inc. Jennifer Hunsberger 224 North Michigan Road. Plymouth, IN 46563 574.936.5141 (Phone) 574.936.5128 (Fax) [email protected]
145 2004-2005 ANNUAL REPORT
Martin County Miami County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southwest: 26.8% Regional smoking prevalence: North-central: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 27.6% Percent of women in County who report smoking during pregnancy: 22.2%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse City Buildings City Buildings Loogootee City Hall None Reported Shoals Town Hall School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Maconaquah School Corporation No Schools with Tobacco-free Campuses Peru School Corporation Hospitals Hospitals No Hospital in County No Smoke-free Hospital Campus Reported Parks/Recreational Facilities Parks/Recreational Facilities Loogootee City Parks None Reported Shoals City Parks Other Other None Reported None Reported County Funding 01/01/03-12/31/03: $54,500 County Funding 01/01/03-12/31/03: $26,300 County Funding 01/01/04-06/30/05: $49,118 County Funding 01/01/04-06/30/05: $27,754 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition 4-H Miami County Health Department Community Learning Center Martin County Health Department American Cancer Society Miami County Indian Nation Companion for Kids Martin County Healthy Families Bryan Steam Miami County Probation Office Daviess Community Hospital Martin County Purdue Business Professional Women New Life UMC Cooperative Extension Channel 18 North Miami Schools Hoosier Uplands Martin County Sheriff's Department Dukes Memorial Hospital Peru Community Schools Indiana Criminal Justice Institute Shoals Community Schools Family Video Square D Loogootee Community Schools Martin County LCC Healthy Family Step Ahead Kiwanis Superior Court Coalition Coordinator: Local Coordinating Council YMCA Hoosier Uplands Economic Development Corp. Maconaquah Schools Allison Moore 1602 I Street, Suite 2 Coalition Coordinator: Bedford, IN 47421 Dukes Memorial Hospital 812.275.3182 (Phone) Mike Wilson 812.275.5116 (Fax) P.O. Box 1084 [email protected] Peru, IN 46957 765.472.4450 (Phone) 765.472.4450 (Fax) [email protected]
146 2004-2005 ANNUAL REPORT
Monroe County County Funding 01/01/03-12/31/03: $138,500 County Funding 01/01/04-06/30/05: $161,400 Indiana adult smoking prevalence: 24.9% Community-based Tobacco Control Coalition Regional adult smoking prevalence: Southwest: 26.8% American Cancer Society Indiana University Applied Health Sciences Indiana youth smoking prevalence: Middle School- 7.8% Bloomington Housing Authority Indiana University Drug High School- 21.3% Information Center Bloomington Hospital Community Indiana University Health Center Percent of women in County who report smoking during pregnancy: 15.5% Health Education Bloomington Hospital Community Relations Living Waters Church Tobacco-Related Policies Bloomington Hospital Respiratory Care Monroe County Health Department City of Bloomington Community and Monroe County Parks & Recreation Ordinance: Family Resources Bloomington Clean Indoor Air Business Consultants Monroe County Community The City of Bloomington's Common Council passed Smoking Ordinance 03- School Corporation 06. Effective August 1, 2003, the ordinance bans smoking in public places Clean Indoor Air Compliance Consultant Older American Center and places of employment, including restaurants. As of January 1, 2005, bars Commission on the Status of Black Males Peggy Welsch, Indiana State Rep. must also comply with the non-smoking ban. Smoking Ordinance 03-06 is Community Health Access Program Rhinos Youth Center designed to protect the public health and welfare of the community from Fresh Hope Missions Church Richland Bean Blossom health hazards induced by breathing secondhand smoke including lung School Corporation cancer, heart disease and respiratory infections. Great Chamber of Commerce Southern Indiana Pediatrics, Inc. of Monroe County County Buildings Indiana Chapter American Academy WonderLab All County Buildings of Indiana Prevention Resource Center Youth Services Bureau City Buildings All City Buildings Street Department Coalition Coordinator: Bloomington City Fire Bloomington Hospital, Inc. Bloomington City Police Ted Jackson Bloomington City Hall P.O. Box 1149 Bloomington Animal Shelter Bloomington, IN 47402 Bloomington City Sewage 812.353.9491 (Phone) Bloomington City Transportation 812.353.5220 (Fax) Bloomington City Utilities [email protected] School Districts with Tobacco-free Campuses Monroe County Community School Corporation Richland-Bean Blossom Community School Corporation Hospitals Bloomington Hospital Parks/Recreational Facilities Cascades Parks Griffy Lake Park Crestmont Park Ninth Street Park Miller-Showers Park University Park Highland Village Park Twin Lakes Park Wapehani Park Bryan Park Olcott Park Sherwood Oaks Parks Winslow Woods Park Other All Public Places, including restaurants and bars (Jan, 1 2005) Indiana Univesity
147 2004-2005 ANNUAL REPORT
Montgomery County Morgan County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Central-west: 33.8% Regional adult smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 28.3% Percent of women in County who report smoking during pregnancy: 24.2%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings Ordinance: Courthouse Effective January 1, 2005, Morgan County restaurants are covered by a county- Garage wide ordinance. Restaurants have the option to 1) be 100% smoke free; Annex 2) allow smoking in a second room that has its own air filtration system for City Police heating and cooling and is of equal size or smaller than the non-smoking City Fire area; or 3) to not allow children inside the facility. City Street Department City Sewage County Buildings City Buildings All County Buildings Crawfordsville City Buildings City Buildings School Districts with Tobacco-free Campuses Martinsville City Hall Crawfordsville Community Schools School Districts with Tobacco-free Campuses North Montgomery Community School Corporation M S D Martinsville Schools Hospitals Mooresville Consolidated School Corporation No Smoke-free Hospital Campus Reported Hospitals Parks/Recreational Facilities St. Francis Hospital Crawfordsville City Parks Parks/Recreational Facilities Other Martinsville City Parks Boys and Girls Club Mooresville City Parks Other County Funding 01/01/03-12/31/03: $55,500 Restaurants County Funding 01/01/04-06/30/05: $66,000 County Funding 01/01/03-12/31/03: $73,200 Community-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $60,000 Alcoa CSI League of Women Voters America's PRIDE Montgomery Alternative Program Community-based Tobacco Control Coalition Athens Medical Group Montgomery County 4-H, Inc. American Cancer Society Mooresville City Court Boys & Girls Club of Montgomery County Health Dept. American Lung Association Mooresville Consolidated School District Montgomery County ASPIRE- Martinsville High School Mooresville Consolidated Schools Admin. Cornerstone Family Center Montgomery County Out of School Barbara B. Jordan YMCA Morgan County Board of Health Suspension Center Counseling Services Morgan County Health Department Crawfordsville City Council Montgomery County Police Desert Rose Morgan County Probation Department Crawfordsville Community Montgomery County Youth Eminence Community Schools Admin. Morgan County Prosecutor's Office School Corporation Service Bureau Eminence Consolidated School District Morgan County Public Library Crawfordsville Police Department North Montgomery School Corporation First Christian Church Morgan County Sheriff's Department Crown Cork & Seal South Montgomery School Corporation Hebron Center Morgan Hospital and Medical Center Cummins Behavioral St. Clare Neighborhood Clinic Indvidual and Family Counseling MSD of Martinsville Health Centers, Inc. Manna Mission MSD of Martinsville Administration Elaine's on Main Wabash Valley Hospital, Inc. Martinsville Chamber of Commerce Teen Student Leadership Academy- Holy Transfiguration Orthodox Church Walker Dentistry Eminence Martinsville City Court The Haven Youth Center Coalition Coordinator: Martinsville City Police Department United Way Montgomery County AHEAD Coalition, Inc. Monroe Gregg School District UNITY group- Mooresville High School Kelly Trusty Mooresville Chamber of Commerce Wellspring RR #4, P.O. Box 251 Crawfordsville, IN 47933 Coalition Coordinator: Prime Time of Morgan County 765.339.7987 (Phone) Sandra Theibe 765.339.7966 (Fax) 61 North Jefferson, Suite 5 [email protected] Martinsville, IN 46151 765.342.1013 (Phone) 765.349.9021 (Fax) 148 [email protected] 2004-2005 ANNUAL REPORT
Newton County Noble County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Northwest: 28.5% Regional adult smoking prevalence: Northeast: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.9% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 26.9% Percent of women in County who report smoking during pregnancy: 20.3%
Tobacco-Related Policies and Ordinances Tobacco-Related Policies
County Buildings County Buildings Courthouse All County Buildings City Buildings City Buildings Kentland Town Hall Albion City Building School Districts with Tobacco-free Campuses Kendallville City Building No Schools with Tobacco-free Campuses Ligonier City Building Hospitals Avilla City Building No Hospital in County School Districts with Tobacco-free Campuses Parks/Recreational Facilities West Noble School Corporation Beaver Township Parks Hospitals Other No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Kendallville’s New Recreation Area’s Bleachers County Funding 01/01/03-12/31/03: $26,300 Other County Funding 01/01/04-06/30/05: $99,440 None Reported (amount divided between Jasper and Newton counties) County Funding 01/01/03-12/31/03: $60,700 Community-based Tobacco Control Coalition County Funding 01/01/04-06/30/05: $63,613 Faithworks of Newton County Jasper County Step Ahead Community-based Tobacco Control Coalition North Newton Schools Central Noble High School Newton County Economic Development Dr. Terry Gaff Newton County Health Department Drug-Free Noble County Partners for a Drug Free Jasper County East Noble High School South Newton Schools Noble County Helath Department Wabash Valley Mental Health Center Noble Latino Tobacco Control Parkview Noble Hospital Coalition Coordinator: Debbie Bowsher Coalition Coordinator: P.O. Box 508 Drug Free Noble County Peru, IN 46970 Randy Handshoe 765.473.4640 (Phone) 100 East Main Street [email protected] Albion, IN 46701 260.636.2320 (Phone) 260.636.6861 (Fax) [email protected]
149 2004-2005 ANNUAL REPORT
Indiana Latino Institute – Noble Latino Tobacco Control Ohio County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/04-06/30/05: $742,828 Regional adult smoking prevalence: Southeast: 30.5% (Total ILI funding for coalitions in 11 counties) Indiana youth smoking prevalence: Middle School- 7.8% Frank Pizana, Latino Tobacco Control of Noble County High School- 21.3% Gilberto Perez, Northeastern Center Oscar Morales, Trinity Lutheran Percent of women in County who report smoking during pregnancy: 23% Michael Heinball Mike Newton, Noble County Teen Court Tobacco-Related Policies Pat Gensic, Noble County Health Department Marilyn Alligood, DFNC Volunteer Coordinator County Buildings Dr. Terry Gaff, Parkview Noble No Policy Doug Harp, Noble County Sheriff Department City Buildings Stan Jacobs, Central Noble School Corporation No Policy Brian Shepherd, Ligonier Elementary School Districts with Tobacco-free Campuses Kathy Hagen, West Noble Middle School No Schools with Tobacco-free Campuses Patricia Gensic, Noble County Health Department Hospitals Michael Heinbaugh, Ligonier United Methodist Church No Hospital in County Bob Buttgen, Advance Leader/Rincon Latino Newspapers Parks/Recreational Facilities Jose Marin, MyM Frames No Policy Other Coalition Coordinator: No Policy Frank Pizana 701 Marilyn Avenue County Funding 01/01/03-12/31/03: $26,300 Ligonier, IN 46767 County Funding 01/01/04-06/30/05: $5,000 260.894.2982 [email protected] Community-based Tobacco Control Coalition American Cancer Society Ohio County Extension Service Big Brother/Big Sister Ohio County Health Department Community Mental Health Ohio County Library Historic Downtown Rising Sun Ohio County School Corporation Learning Tree of Ohio Co. Rising Sun Police Department Ohio Co. Community Foundation Rising Sun/Ohio Co. Park Board Ohio Co./Rising Sun Chamber Rising Sun/Ohio Co. Tourism Bureau of Commerce Ohio County Dept. of Family and Children
Coalition Coordinator: Ohio County Community Foundation, Inc. Beth Terrill 2779 Stewart Ridge Road Rising Sun, IN 47040 812.438.2373 (Phone) 812.438.3228 (Fax) [email protected]
150 2004-2005 ANNUAL REPORT
Orange County Owen County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southwest: 26.8% Regional adult smoking prevalence: Central-west: 33.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 26.5% Percent of women in County who report smoking during pregnancy: 23.6%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings None Reported All County Buildings City Buildings City Buildings Orleans Town Hall Gosport Town Hall Paoli Town Hall Spencer City Building French Lick Town Hall School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Spencer-Owen Community No Schools with Tobacco-free Campuses Hospitals Hospitals No Hospital in County No Smoke-free Hospital Campus Reported Parks/Recreational Facilities Parks/Recreational Facilities None Reported None Reported Other Other None Reported 7 Resturants in Paoli, French Lick, and Orleans County Funding 01/01/03-12/31/03: $45,800 County Funding 01/01/03-12/31/03: $44,300 County Funding 01/01/04-06/30/05: $41,220 County Funding 01/01/04-06/30/05: $52,892 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition 4-H Fishing Team OVMS CRASH Club American Cancer Society Orleans Police Department Center for Behavioral Health Owen Circuit Court Bloomington Hospital of Orange County Orleans School District Dianne Shewmaker Owen County Office of Child Health Project Paoli FFA Family and Children Hardees Paoli Police Department Dr. Carr Owen County Probation Department Orange County 4-H Paoli School District Dr. Wells Owen Monroe Medical Association Orange County Families Action Paoli, Inc. Dr. William Kenfield, DDS Owen Valley Schools Orange County Health Department Southern Hills Counseling Center Drug Free You & Me Pastor David and Rebecca Warren Orange County Prosecutor's Office Springs Valley School District Farm Bureau & Franklin Life Insurance Pastor David Rawls Orange County Relay for Life Subway Hamilton Center Rhonda Schafer Orange County Superior Court Drug Hardesty Construction Sheriff Melton and Alcohol Program Healthy Families Spencer Christian Church Hometown Healthcare Spencer Church of the Nazarene Coalition Coordinator: Indiana Dept. of Natural Resources Spencer Evening World Orange County PACT Indiana State Police Spencer-Owen Alternative School Lou Getman Job Fair Spencer-Owen Community Schools 205 East Main Street, Suite 3 Johnson Nichols Health Clinic Stello Products Paoli, IN 47454 Judge Nardi Step Ahead 812.723.2621 (Phone) Kathy Ray Terry Hackett 812.723.4308 (Fax) Kim Tucker Tobacco Grant [email protected] LCC Vern Tincher, State Rep., District 46 Lew Moke West Parrish and Pedigo Funeral Home OVHS SADD Chapter YMCA
Coalition Coordinator: Owen County Family YMCA Teena Jennings 1111 Highway 46 West Spencer, IN 47460 812.828.9622 (Phone) 812.828.9329 (Fax) [email protected]
151 2004-2005 ANNUAL REPORT
Parke County Perry County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Central-west: 33.8% Regional adult smoking prevalence: Southwest: 26.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 29.8% Percent of women in County who report smoking during pregnancy: 28.4%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Sheriff’s Department County Courthouse Jail EMS Building City Buildings Jail Rockville City Building Community Center Rockville Town Hall City Buildings Montezuma Town Hall Tell City Building School Districts with Tobacco-free Campuses Tell City Police Rockville Community School Corporation School Districts with Tobacco-free Campuses Southwest Parke Community School Corporation Cannelton City Schools Hospitals Perry Central Community Schools Corporation No Hospital in County Tell City-Troy Township School Corporation Parks/Recreational Facilities Hospitals Raccoon Lake City Parks Perry County Memorial Hospital (November 2005) Rockville City Parks Parks/Recreational Facilities Other No Policy 5 smoke-free restaurants = 18% of restaurants Other Tell City Cultural Center County Funding 01/01/03-12/31/03: $43,000 Cannelton Cultural Center County Funding 01/01/04-06/30/05: $51,595 Branchville Correctional Facility Lincoln Hills Development Corporation Community-based Tobacco Control Coalition Southern Hills Counseling Center American Cancer Society Rockville Christian Church CHANCES for Indiana Youth Rockville School Corporation County Funding 01/01/03-12/31/03: $44,000 Family Health Help Center SADD County Funding 01/01/04-06/30/05: $52,800 FCA National Camp Sentinel newspaper FFA chapters at Turkey Run Southwest Parke School Corporation Community-based Tobacco Control Coalition and Riverton Parke American Cancer Society Perry County Memorial Hospital Hamilton Center Turkey Run Inn Cannelton School Corporation Perry County Ministerial Association Newport Church of God Turkey Run School Corporation Healthy Families Southern Hills Mental Health Center Parke County Health Department VOICE Lincoln Hills Development Corporation Swiss Plywood Parke County Sheriff’s Department Perry Central School Corporation Tell City School Corporation Perry County Chamber of Commerce Waupaca Coalition Coordinator: Perry County Health Department Indiana Communities for Drug-Free Youth, dba C.H.A.N.C.E.S. Angela Taylor Coalition Coordinator: P.O. Box 14 Lincoln Hills Development Corporation Newport, IN 47966 Jan Sprinkle 812.208.5708 (Phone) 302 Main Street, P.O. Box 336 765.492.5826 (Fax) Tell City, IN 47586-0442 [email protected] 812.547.3435 (Phone) 812.547.3466 (Fax) [email protected]
152 2004-2005 ANNUAL REPORT
Pike County Porter County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southwest: 26.8% Regional adult smoking prevalence: Northwest: 28.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 22.7% Percent of women in County who report smoking during pregnancy: 17%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All County Buildings All County Buildings City Buildings City Buildings Spurgeon Fire Chesterton City Building Spurgeon Town Hall Kouts Town Hall Winslow City Water Bums Harbor Buildings Winslow Town Hall Portage Buildings Petersburg City Hall Hebron Town Hall Petersburg City Police Valparaiso City Building Petersburg City Sewage School Districts with Tobacco-free Campuses Petersburg City Water Duneland School Corporation School Districts with Tobacco-free Campuses East Porter County School Corporation No Schools with Tobacco-free Campuses Porter Township School Corporation Hospitals Portage Township School Corporation No Hospital in County Union Township School Corporation Parks/Recreational Facilities Valparaiso Community Schools Petersburg City Park Hospitals Spurgeon City Park No Smoke-free Hospital Campus Reported Winslow City Park Parks/Recreational Facilities Other None Reported None Reported Other Aberdeen Banquet Hall County Funding 01/01/03-12/31/03: $26,300 The Inn at Aberdeen County Funding 01/01/04-06/30/05: $31,560 The Memorial Opera House PC Expo Center Community-based Tobacco Control Coalition Environmental Learning Center 4-H Pike County Commission Camp Good Fellow to End Drug Abuse (CEDA) American Cancer Society Pike County Health Department County Funding 01/01/03-12/31/03: $154,500 Deaconess Medical Group Pike County School Corporation County Funding 01/01/04-06/30/05: $185,358 Fenol Medical Practice Purdue Extension Office Governor’s Commission VOICE Community-based Tobacco Control Coalition for Drug-Free Indiana American Cancer Society Portage Township Schools Petersburg Family Practice Boys & Girls Clubs of Porter County Porter County Education Interlocal Centier Bank Porter County Health Department Coalition Coordinator: Choices Porter County Step Ahead Pike County Tobacco Coalition City of Valparaiso Porter County Substance Abuse Council Samantha Sheffler Duneland Schools Porter County VOICE 801 Main Street, Courthouse Easter Porter County Schools Porter Hospital Petersburg, IN 47567 Family & Youth Services Bureau Porter Starke Services 812.354.8797 (Phone) of Porter County 812.354.2532 (Fax) Governor’s Commission Purdue Cooperative Extension [email protected] for a Drug-Free Indiana Hilltop Medical Center Senator Lugar's office Hilltop Neighborhood House Smokefree Indiana Indiana Latino Institute South Haven Christian School ISG Urschel Laboratories
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153 2004-2005 ANNUAL REPORT
Ivy Tech State College UW of Porter County Posey County Northshore Health Clinics Valparaiso Community Schools NWI First Steps Valparaiso University Indiana adult smoking prevalence: 24.9% Opportunity Enterprises YMCA Regional adult smoking prevalence: Southwest: 26.8% Coalition Coordinator: The Lutheran University Association, Inc. dba Valparaiso Univ. Indiana youth smoking prevalence: Middle School- 7.8% Susan Gleason High School- 21.3% 836 Valparaiso, University, LaPorte Ave., LeBien Hall Valparaiso, IN 46383 Percent of women in County who report smoking during pregnancy: 22.7% 219.464.5480 (Phone) 219.464.5425 (Fax) Tobacco-Related Policies [email protected] County Buildings Indiana Latino Institute - Porter All County Buildings City Buildings Minority-based Tobacco Control Coalition Mt. Vernon City Buildings School Districts with Tobacco-free Campuses County Funding 01/01/04-06/30/05: $742,828 Metropolitan School District of Mount Vernon (Total ILI funding for coalitions in 11 counties) Hospitals No Hospital in County Alicia Jackson, Latino Tobacco Control of Porter County Parks/Recreational Facilities Leticia Munguia, Latino Tobacco Control of Porter County None Reported Bertha Reed, Portage Adult Education Other Natalie Rivich, Smokefree Indiana Mt. Vernon Alexandrian Library Blanca Maya, Our Lady of Guadalupe Sodality Araceli Ramos, Valparaiso Food Pantry County Funding 01/01/03-12/31/03: $49,000 Sergio & Angelica Garcia, Discoteca Morelia Grocery Store County Funding 01/01/04-06/30/05: $58,800 Susan Gleason, Tobacco Education Prevention Coalition of Porter County Community-based Tobacco Control Coalition Coalition Coordinator: 4-H Prosecutor's Office Alicia Jackson American Cancer Society Purdue Extension 2068 Hamilton Street Catholic Diocese Schools Red Cross Portage, IN 46368 Church of God in Christ Solid Waste District 219.763.4698 (Phone) City of Mt. Vernon Southwestern Indiana Mental Health [email protected] First Church of the Nazarene St. Matthew Catholic Church Metropolitan School District of Mt. Vernon St. Paul's United Methodist Church Mt. Vernon High School Step Ahead Council Mt. Vernon Jr. High Superior Court Probation Mt. Vernon Parks and Recreation VOICE Mt. Vernon Police Department Women, Infants and Children (WIC) New Harmony School Youth First North Posey Schools Youth Service Bureau Promoting a Drug Free Community
Coalition Coordinator: Promoting a Drug Free Community in Posey County, Inc Martha Caine 614 Southeast Third Street Evansville, IN 47713 812.476.1471 (Phone) 812.401.4199 (Fax) [email protected]
154 2004-2005 ANNUAL REPORT
Pulaski County Putnam County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: North-central: 25.1% Regional adult smoking prevalence: Central-west: 33.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 35.8% Percent of women in County who report smoking during pregnancy: 27.1%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Jail Courthouse Annex Building Courthouse Annex Office Buildings Jail Courthouse City Buildings City Buildings Cloverdale Town Hall No City Buildings Reported Cloverdale City Utilities School Districts with Tobacco-free Campuses Fillmore Town Hall No Schools with Tobacco-free Campuses Coatesville Town Hall Hospitals Coatesville Buildings Pulaski Memorial Hospital (1/1/2006) Roachdale City Offices Parks/Recreational Facilities Bainbridge City Buildings None Reported Greencastle City Building Other School Districts with Tobacco-free Campuses Braun Corporation (1/1/2006) North Putnam Community Schools South Putnam Community Schools County Funding 01/01/03-12/31/03: $26,300 Hospitals County Funding 01/01/04-06/30/05: $16,560 Putnam County Hospital Parks/Recreational Facilities Community-based Tobacco Control Coalition Big Walnut Sports Park Families First Pulaski County Parents As Teachers Emerald Palace Playground Pulaski County Alternative Pulaski County Partners in Wellness Robe-Ann Park Aquatic Center Education Program Robe Ann Park Basketball Court American Cancer Society Pulaski County Safe Kids Chapter Robe Ann Park Skatepark Pulaski County Daycare Pulaski County Step Ahead Council Robe Ann Park Tennis Court Providers Association Other Pulaski County Division Pulaski Memorial Hospital DePauw University – all university owned buildings of Family and Children Area 30 Career Center Pulaski County Health Department Sweet Beginnings Prenatal Program Pulaski County Healthy Families County Funding 01/01/03-12/31/03: $54,500 County Funding 01/01/04-06/30/05: $65,400 Coalition Coordinator: Pulaski Memorial Hospital Community-based Tobacco Control Coalition Jean Widup American Cancer Society National Association for the P.O. Box 279 Advancement of Colored People (NAACP) Winamac, IN 46996 City of Greencastle North Putnam High School 574.946.6017 (Phone) Cloverdale High School P.I.E. Coalition Against 574.946.3209 (Fax) Substance Abuse [email protected] Court Appointed Special Advocates Prenatal Substance Use (CASA) Prevention Program Cummins Behavior Health Systems Putnam County Community Correction Greater Greencastle Chamber Putnam County Family Support Services of Commerce Greencastle Parks and Putnam County Health Department Recreation Department Hamilton Center Putnam County Hospital Indiana Excise Police Putnam County Hospital Chaplainry Assn. Johnson Nichols Health Clinic Putnam County Office of Family and Children
Continued... 155 2004-2005 ANNUAL REPORT
Mental Health Association Putnam County Youth Randolph County of Putnam County Development Commission Indiana adult smoking prevalence: 24.9% Coalition Coordinator: Putnam County Hospital Regional adult smoking prevalence: Central-east: 31.8% Amy Robinson 1542 South Bloomington Street Indiana youth smoking prevalence: Middle School- 7.8% Greencastle, IN 46135 High School- 21.3% 765.655.2697 (Phone) 866.653.6565 (Toll free phone) Percent of women in County who report smoking during pregnancy: 27.5% 765.655.2625 (Fax) [email protected] Tobacco-Related Policies
County Buildings National Association for the Advancement of Colored People Randolph Center for Family Opportunities Courthouse Minority-based Tobacco Control Coalition City Buildings Ridgeville City Buildings County Funding 2004-2005:$9,450 Parker City Buildings Ridgeville Fire Department and Library Building NAACP Johnson Nichols Health Clinic School Districts with Tobacco-free Campuses DePauw University Putnamville Correctional Facility Randolph Central School Corporation Bonner Scholars DePauw University Health Advisory Committee Hospitals Putnam County Hospital Putnam County Step Ahead/First Steps St. Vincent Randolph Hospital Parks/Recreational Facilities Coalition Coordinator: Soccer Field of YMCA Ann Newton Other 501 North Arlington Street Farmland Cultural Center Greencastle, IN 46135 765.653.3856 (Phone) County Funding 01/01/03-12/31/03: $49,200 [email protected] County Funding 01/01/04-06/30/05: $54,031
Community-based Tobacco Control Coalition 4-H Randolph County Health Department Dr. Watkins Randolph Eastern FFA Randolph Southern Ken Madler SV Randolph Ministerial Association YMCA Randolph Central Youth Council
Coalition Coordinator: St. Vincent Randolph Hospital Debbie McGriff-Tharp 473 Greenville Avenue Winchester, IN 47394 765.584.0745 (Phone) 765.584.0470 (Fax) [email protected]
156 2004-2005 ANNUAL REPORT
Ripley County Rush County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southeast: 30.5% Regional smoking prevalence: Central-east: 31.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 22.2% Percent of women in County who report smoking during pregnancy: 24.8%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All Government Buildings County Courthouse City Buildings City Buildings Batesville City Buildings Rushville City Offices School Districts with Tobacco-free Campuses Rushville City Fire Batesville Community School Corporation Rushville Police Department Jac-Cen-Del Community School Corporation Rushville Street Department Milan Community Schools School Districts with Tobacco-free Campuses South Ripley Community School Corporation Rush County Schools Hospitals Hospitals No Smoke-free Hospital Campus Reported Rush Memorial Hospital Parks/Recreational Facilities Parks/Recreational Facilities Batesville City Park Rushville City Parks Liberty Park Other Other Parks Department Southern Indiana YMCA County Funding 01/01/03-12/31/03: $43,600 County Funding 01/01/03-12/31/03: $48,700 County Funding 01/01/04-06/30/05: $40,000 County Funding 01/01/04-06/30/05: $43,440 Community-based Tobacco Control Coalition Community-based Tobacco Control Coalition Rush County Schools Local Government 4-H Junior Leaders Home Extension Services Rush Memorial Hospital Police Department Community Mental Health Margaret Mary Community Hospital Family Health Services Boys and Girls Club Family Connections Ripley County Health Department LCC Future Farmers of America South Eastern Indiana Career Center Ripley County Sheriff’s Department Ripley County Health Department Coalition Coordinator: Rush County Schools Coalition Coordinator: Tammy Jackman Ripley County Auditor 6513 South Base Road Traci Bauman Milroy, IN 46156 P.O. Box 423 765.629.2074 (Phone) Versailles, IN 47042 [email protected] 812.689.5751 (Phone) 812.689.3909 (Fax) [email protected]
157 2004-2005 ANNUAL REPORT
Scott County Shelby County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southeast: 30.5% Regional adult smoking prevalence: Central-Indy: 28.6%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 36.8% Percent of women in County who report smoking during pregnancy: 29.3%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse Garage Criminal Justice Center City Buildings City Buildings Scottsburg City Hall Shelbyville City Police Scottsburg City Housing Shelbyville City Hall Warrior Reservation School Districts with Tobacco-free Campuses School Districts with Tobacco-free Campuses Northwestern Consolidated School Corporation No Schools with Tobacco-free Campuses Shelby Eastern Schools Hospitals Shelbyville Central Schools No Smoke-free Hospital Campus Reported Southwestern Consolidated School Shelby County Parks/Recreational Facilities Hospitals None Reported No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities 25% of Restaurants Shelbyville City Parks Other County Funding 01/01/03-12/31/03: $46,500 Shelbyville Boys Club County Funding 01/01/04-06/30/05: $54,460 Girls Inc.
Community-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $59,000 4-H MADD County Funding 01/01/04-06/30/05: $49,629 Austin Elementary School McDonald's Austin High School OVO Head Start Community-based Tobacco Control Coalition Austin Middle School Purdue Cooperative Extension Office Boys Club Shelby County Prenatal Care Austin Police Department SADD Dr. James Rees Shelby Eastern Schools Big Brothers/Big Sisters Scott Area Ministerial Association FSPP Shelbyville Central Schools CASA Scott County Children's Health Clinic Girls Inc. Shelbyville News Center for Women and Families Scott County Council, Inc. Major Hospital Southwestern Consolidated Schools Child Abuse Scott County Drug Court Northwestern Schools of Shelby Co. Sponsel Photography Cradle Pregnancy Resource Center Scott County Family YMCA Drug Free Coalition Direct Care Providers Scott County Health Clinic Shelby County Health Clinic WKWH Family Resource Center Scott County Partnership Shelby County Drug Free Coalition Burger King Girl Scouts Scott County Prosecutor's Office Kopper Kettle Restaurant Shelbyville Police Department Governor's Commission for Scott County School District II Shelby County Sheriff’s Department a Drug Free Indiana Superintendent Greater Scott County Scott Memorial Hospital Coalition Coordinator: Chamber of Commerce Shelby County Drug Free Coalition Johnson Elementary School Scottsburg High School Kim Herndon Just Say No Club Scottsburg Middle School P.O. Box 652 Lexington Elementary School Scottsburg Police Department Shelbyville, IN 46176 Life Spring Mental Health Vienna-Finley Elementary School 317.398.3135 (Phone) Lion’s Club YMCA Teen Leadership 317.398.3135 (Fax) Scott County Health Department [email protected]
Coalition Coordinator: Scott County Family YMCA Sondra Hook P.O. Box 511, Community Way Scottsburg, IN 47170 812.752.7239 (Phone) 812.752.3260 (Fax) [email protected] 158 2004-2005 ANNUAL REPORT
Spencer County St. Joseph County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Southwest: 26.8% Regional adult smoking prevalence: North-central: 25.1%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 19.8% Percent of women in County who report smoking during pregnancy: 15%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings All Buildings St. Joseph County Library Buildings and Grounds City Buildings City Buildings Santa Claus Town Hall Mishawaka City Building Rockport City Hall South Bend City Offices Dale City Offices School Districts with Tobacco-free Campuses Chrisney Town Hall John Glenn School Corporation School Districts with Tobacco-free Campuses Penn-Harris-Madison School Corporation North Spencer County School Corporation School City of Mishawaka South Spencer County School Corporation Hospitals Hospitals Saint Joseph Regional Medical Center-Mishawaka Campus No Hospital in County St. Joseph’s Regional Medical Center-South Bend Campus Parks/Recreational Facilities Memorial Hospital Health System None Reported Parks/Recreational Facilities Other South Bend City Parks None Reported Mishawaka City Parks Other County Funding 01/01/03-12/31/03: $44,900 Morris Performing Arts Center County Funding 01/01/04-06/30/05: $41,880 Potawatomi Zoo Coveleski Regional Stadium (smoking prohibited in stands) Community-based Tobacco Control Coalition American Cancer Society Rice N Ribbon County Funding 01/01/03-12/31/03: $292,000 Buffalo Run Spencer County Convention & Visitors County Funding 01/01/04-06/30/05: $350,400 Christian Resource Center Spencer County Health Department Circle S (Chrisney) Spencer County Office of Div. Family Res. Community-based Tobacco Control Coalition Circle S (Dale) South Spencer School Corporation 21st Century Scholars La Casa De Amistad Circle S (Grandview) Spencer Co. Reg. Chamber of Commerce Alcohol and Addictions Resource Center Marion High School Citgo Spunky's American Cancer Society of St. Joseph Memorial Hospital Family Practice Grandy's Subway (Dale) Big Idea Company LLC Mishawaka Business Association Holiday Foods (Santa Claus) Subway (Rockport) Boys and Girls Club of St. Joseph County Parent and Friends of Lesbians Holiday Foods (Dale) Subway (Santa Claus) and Gays Holiday Foods (Rockport) Tell City Bowling Center Center for Hospice and Palliative Care Penn Harris Madison School Corp. Hong Kong Restaurant TRI-CAP (Healthy Families) Center for the Homeless Raymond James Financial Services- Intera Bank Uncle Jim's Place B Bickell North Spencer School Corp. (Schriefer) USPS Chamber of Commerce Rocco's Restaurant North Spencer School Corp. (Wimes) VOICE (North Spencer School Corp- Changing Your Destiny St. Joseph Regional Medical Center Gramelspacher) City of Mishawaka School City Mishawaka PC Convention & Visitors VOICE (North Spencer School Corp-Keith) City of South Bend South Bend Community Schools Perry County Youth Serv. Bur. VOICE (North Spencer School Corp-Litkenhus) Clay Fire Marshal St. Bavo's Church Purdue Extension Serv. 4-H Wendy's COMOL St. Joseph County Council Congregational Nurse Program St. Joseph County Prosecutor's Office Coalition Coordinator: Crowe Chizek Temple Beth-EL Perry/Spencer Step Ahead/Lincoln Hills Development Corporation Faulkner Strategies The South Bend Clinic Kaye Kleeman Freedman's Bureau United Way of St. Joseph County 1140 31st Street, P.O. Box 427 Hawthorne Services University of Notre Dame Tell City, IN 47586 Heptagon, Inc. Urban Youth Service 812.547.2299 (Phone) Indiana Academy of Family Physicians Woman's Alliance 812.547.0939 (Fax) Indiana Trust Work One [email protected] Indiana University South Bend WSBT-TV Ivy Tech State College YWCA of St. Joseph County Junior League of South Bend, Inc. Zion United Church of Christ Continued... 2004-2005 ANNUAL REPORT
Coalition Coordinator: Starke County Healthy Communities Initiative of St. Joseph County Amy Clifford Indiana adult smoking prevalence: 24.9% 401 East Colfax, Suite 310 South Bend, IN 46617 Regional adult smoking prevalence: North-Central: 25.1% 574.239.8585 ext. 317 (Phone) 574.289.0358 (Fax) Indiana youth smoking prevalence: Middle School- 7.8% [email protected] High School- 21.3%
St. Joseph County Minority Health Coalition Percent of women in County who report smoking during pregnancy: 30.5%
Minority-based Tobacco Control Coalition Tobacco-Related Policies
County Funding 01/01/03-12/31/03: $163,800 County Buildings County Funding 01/01/04-06/30/05: $171,150 County Annex Starke County Council on Aging Greater Holy Temple Highway Department Indiana Black Expo-South Bend Chapter Sheriff Department Interfaith Christian Union Courthouse LULAC (League of United Latin Americans Council) City Buildings Minority & Women Business Development Council Hamlet City Fire Pentecostal Cathedral Hamlet City Police St. Joseph County Health Department Knox City Buildings St. Joseph County Police Department Knox City Fire St. Joseph Regional Medical Center and Community Outreach North Judson City Fire Urban Youth Services YMCA North Judson City Police St. Joseph Minority Health Coalition Koontz Lake North Judson Libraries Coalition Coordinator: Hamlet Libraries Sheral Anderson San Pierre Libraries P.O. Box 4234 School Districts with Tobacco-free Campuses South Bend, IN 46634-4234 North Judson San Pierre School Corporation 574.232.3464 (Phone) Hospitals 574.239.4232 (Fax) No Smoke-free Hospital Campus Reported [email protected] Parks/Recreational Facilities None Reported Indiana Latino Institute – St. Joseph Other County Library Minority-based Tobacco Control Coalition Knox Community Center
County Funding 01/01/04-06/30/05: $742,828 County Funding 01/01/03-12/31/03: $46,900 (Total ILI funding for coalitions in 11 counties) County Funding 01/01/04-06/30/05: $56,280
Anamilena Dillon, St. Joseph Regional Medical Center Community-based Tobacco Control Coalition Olga Larimer, La Casa de Amistad 21st Century Scholars North Judson High School Maritza Robles, South Bend Community School Corporation (Kevin Kroft) (Gayle Healy) Gregorio Chavez, LULAC Council 5001, Inc. American Cancer Society North Judson San Pierre Middle School Eliud Villanueva, Sabor Latino Radio Station (Rachelle Back) (Suzie Matzat) Rosa Isela Hernandez, St. Adalbert’s Catholic Church American Cancer Society North Judson Wayne Twp Public Libraries Father Chris Cox, St. Adalbert’s Catholic Church (Sheridan De-Castro) (Jane Ellen Fulchuck) Mercedes Moran, Prenatal Classes Drug-Free Starke County Oregon Davis School Corporation Adriana Ros, Hispanic Health Task Force (Camille Cummins) (Bill Rentschler) Maria Navarro, Community Member Governor's Commission for Porter Starke Services Margie Davis, Community Member a Drug-Free Indiana Michelle Peters, St. Joseph Regional Medical Center (Geoff Downie) (Carmen Arlt) Ellen Sommers, Women’s Care Center Healthy Families & Starke Porter Starke Services Memorial Hospital Coalition Coordinator: (Kathy Robb) (Leo Smith) Anamilena Dillon Knox High School, VOICE Starke County Health Department 234 South Chapin Street, Suite 2 (Sarah Wood) (Judy Jelinek, Shannon Salyer) South Bend, IN 46601 Knox High School Starke County Police Department (574) 239-5292 (Phone) (Terri Shmidt) (Rick Chambers) [email protected] Continued... 160 2004-2005 ANNUAL REPORT
Knox High School, SADD Starke County Public Libraries Steuben County (Jessica Dedloff) (John Brock, Mary Geisel, Ellen Pitcher) Indiana adult smoking prevalence: 24.9% Knox High School, SADD, Point of Youth, Starke County Sheriff's Department VOICE (Anthony Jeffers) (Bob Sims) Regional adult smoking prevalence: North-Central: 25.1% Knox High School, SADD, Point of Youth, Starke County Sheriff's Posse VOICE (Kelly Jeffers) (Al Noble) Indiana youth smoking prevalence: Middle School- 7.8% Knox Middle School Starke United, Inc. High School- 21.3% (Chris Ross, Steve Cronk) (M.J. Zembala) Percent of women in County who report smoking during pregnancy: 22.8% Coalition Coordinator: Starke United, Inc. Tobacco-Related Policies Camille Cummins 3415 East South Country Lane County Buildings Knox, IN 46534 Courthouse Annex 574.772.3353 (Phone) Jail 574.772.9159 (Fax) Community Center [email protected] Highway Department City Buildings Angola City Hall Angola City Police Angola City Water Fremont Town Hall School Districts with Tobacco-free Campuses No Schools with Tobacco-free Campuses Hospitals No Smoke-free Hospital Campus Reported Parks/Recreational Facilities YMCA Pokagon State Park Other None Reported
County Funding 01/01/03-12/31/03: $52,800 County Funding 01/01/04-06/30/05: $29,149
Community-based Tobacco Control Coalition Barb Enfield Santa's Helpers of Steuben County (Lynne Hickman) Bonnie Nagel St. Anthony of Padua Catholic Church Youth Ministry (Lisa Lysaght) Cahoots Coffee Café (Rita Lechleidner) Steuben County Child Support (Tracy Bruick) Cameron Counseling Center ) Steuben County Health Department (Rita Lechleidner (Dr. Ted Crisman) Cameron Memorial Community Hospital Steuben County Health Department (John White) (Tom Friend) Four County Transitional Living Steuben County Prosecutor's Office (Bill Kuhn) (Marty McNeal) Governor's Commission for Steuben County Sheriff's Department a Drug Free Indiana (Sandy Smith) Metropolitan School District Steuben County Youth Improvement of Steuben County (Terri Moor) Program (Cari Martin) Prairie Heights High School (Suzie Tyler) Tri-State University (Deb McHenry) Fremont Community School Women in Transition, Inc. (Chris Phillips) (Lindi Marti)
Coalition Coordinator: Steuben County Commissioners Marty McNeal 205 South Martha, Suite 107 Angola, IN 46703 260.668.1000 (Phone) 260.665.2320 (Fax) 161 [email protected] 2004-2005 ANNUAL REPORT
Sullivan County Switzerland County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Central-west: 33.8% Regional smoking prevalence: Southeast: 30.5%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 26.4% Percent of women in County who report smoking during pregnancy: 28.4%
Tobacco-Related Policies Tobacco-Related Policies and Ordinances
County Buildings County Buildings Courthouse Courthouse Welfare Department City Buildings City Buildings None Reported Sullivan City Hall School Districts with Tobacco-free Campuses Sullivan City Building No Schools with Tobacco-free Campuses Sullivan City Fire Hospitals School Districts with Tobacco-free Campuses No Hospital in County Southwest School Corporation Parks/Recreational Facilities Hospitals None Reported No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities None Reported Sullivan City Parks Other County Funding 01/01/03-12/31/03: $26,300 Hamilton Center County Funding 01/01/04-06/30/05: $79,720 (amount divided between Jefferson and Switzerland counties) County Funding 01/01/03-12/31/03: $45,800 County Funding 01/01/04-06/30/05: $54,728 Community-based Tobacco Control Coalition Community Mental Health Center Switzerland County Foundation Community-based Tobacco Control Coalition Governor's Commission for Switzerland County Nurse Managed Hamilton Center, Inc. a Drug Free Indiana Clinic - Health Department Milburn's Pharmacy King’s Daughter’s Hospital Switzerland County Schools North Central Jr./Sr. High School King’s Daughter’s Physician Vevay Assembly (Church) Sullivan High School Lifetime Resources Union Jr./Sr. High School Maternal Child Health Services and WIC School Nurse Coalition Coordinator: Switzerland County Awareness Team (SCAT) Indiana Communities for Drug-Free Youth, dba C.H.A.N.C.E.S Switzerland County Extension Office Carrie Evans Switzerland County First Steps Kelly Center, 444 South 6th Street Terre Haute, IN 47807 Coalition Coordinator: 812.232.5190 (Phone) King’s Daughter’s Hospital & Health Services 812.234.0711 (Fax) Kim Crawford [email protected] One King’s Daughter’s Drive Madison, IN 47250 812.265.0598 (Phone) 812.265.0291 (Fax) [email protected]
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Tippecanoe County Coalition Coordinator: Tobacco-Free Partnership Indiana adult smoking prevalence: 24.9% Alyssa Thewes 100 Saw Mill Road; Suite 2200 - D Regional adult smoking prevalence: Central-west: 33.8% Lafayette, IN 47903 765.471.4680 (Phone) Indiana youth smoking prevalence: Middle School- 7.8% 765.471.4679 (Fax) High School- 21.3% [email protected]
Percent of women in County who report smoking during pregnancy: 13.8% Community and Family Resource Center - Centro Hispano
Tobacco-Related Policies Minority-based Tobacco Control Coalition
County Buildings County Funding 01/01/03-12/31/03: $25,800 All County Buildings County Funding 01/01/04-06/30/05: $50,000 City Buildings Lafayette City Buildings Latino Service Providers network West Lafayette City Buildings School Districts with Tobacco-free Campuses Coalition Coordinator: No Schools with Tobacco-free Campuses Gabriel Colon / Maya Romero Hospitals 330 Fountain Street No Smoke-free Hospital Campus Reported Lafayette, IN 47902-1186 Parks/Recreational Facilities 765.742.5046 (Phone) Lafayette City Parks [email protected] West Lafayette City Parks Other Indiana Latino Institute – La Colicion Latina de Tippecanoe Eli Lilly Suburu-Isuzu Automotive Minority-based Tobacco Control Coalition Purdue University Buildings, Athletic Facilities, and Vehicles 30 feet from entrances smoke-free County Funding 01/01/04-06/30/05: $742,828 Ivy Tech Buildings (Total ILI funding for coalitions in 11 counties) Over 120 smoke-free restaurants Lafayette Lake Aida Muñoz, La Coalición Latina de Tippecanoe Fr. Tim Alkire, St. Boniface Catholic Church County Funding 01/01/03-12/31/03: $155,900 Jose Muñoz, Deacon St. Boniface Catholic Church County Funding 01/01/04-06/30/05: $190,671 Gabriel Colon, Community and Family Resource Center Steve Marin, Latino Coalition of Tippecanoe County Community-based Tobacco Control Coalition Ana Lopez, Latino Coalition of Tippecanoe County Arnett Health Lafayette School Corporation Sonia Limon Azteca Restaurant Lafayette Urban Ministry Maria Coeto, Headstart Boy Scouts Latino Coalition Tristen Emery, VOICE/STEP/TFP Cary Home for Children Latino Service Provider's Network Mary Beth Joyner, Prenatal Substance Use Prevention Program Church Women United Purdue School of Nursing Reta Williams, Kyger Elementary School Coalition for a Safe and Purdue Student Wellness Office Tammy Loew, Student Wellness Office Drug Free Tippecanoe County Jinny Granger, CGC Bridgeway Apartments, LLC Community Family Resource Center Purdue University Miguel Sanchez, Taco Rico Restaurant Connexions Childcare Resource Ruby Tuesday's and Referral Coalition Coordinator: Family Services, Inc. Scotty's Brew House Aida Munoz Girl Scouts Tippecanoe County Child Care 905 Brown Street Greater Lafayette Health Services Tippecanoe County Health Clinic Lafayette, IN 47904 Ivy Tech State College Tippecanoe County Health Department 765.420.7902 (Phone) La Tapatia Grocery Tippecanoe County Juvenile Probation [email protected] Department Lafayette Adult Resource Academy Tippecanoe School Corporation Lafayette Catholic Schools Trinity United Methodist Church Lafayette City Council members West Lafayette City Council members Lafayette Crisis Center West Lafayette School Corporation Lafayette Head Start YWCA Lafayette Life Insurance
163 2004-2005 ANNUAL REPORT
Tipton County Union County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional smoking prevalence: Central-Indy: 28.6% Regional adult smoking prevalence: Central-east: 31.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 15.5% Percent of women in County who report smoking during pregnancy: 24.7%
Tobacco-Related Policies Tobacco-Related Policies and Ordinances
County Buildings County Buildings All County Buildings Courthouse Jail Sheriff Department City Buildings City Buildings Tipton City Offices Liberty Chamber Tipton City Police Liberty County Extension Sharpsville City Building School Districts with Tobacco-free Campuses Kempton Town Hall No Schools with Tobacco-free Campuses Windfall Town Hall Hospitals School Districts with Tobacco-free Campuses No Hospital in County St. John’s Elementary Parks/Recreational Facilities Northern Community School Tipton County Liberty City Parks Hospitals Other No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Tipton City Parks County Funding 01/01/03-12/31/03: $26,300 Other County Funding 01/01/04-06/30/05: $21,000 None Reported Community-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $42,600 Bath United Methodist Church Union County Auditor County Funding 01/01/04-06/30/05: $48,385 CASA Union County Corrections HMCC-Child Care Resource & Referral Union County Health Department Community-based Tobacco Control Coalition Indiana Criminal Justice Institute/ LCC Union County School ACRA Lewis Harper, Judge- City of Tipton School of the Horse Union County Sheriff Department American Cancer Society Ministerial Association Union County Development Corporation Boys and Girls Club Northern Community School Corporation Coalition Coordinator: Brad Nichols, County Councilman Tipton Community Community Care in Union County, Inc. Corrections Department Jennifer English Craig Henderson, County Sheriff Tipton Community School Corporation 302 Harrison Street Purdue Extension Office Tipton County Health Department Liberty, IN 47353 George Ogden, Mayor Tipton County Library 765.458.7491 (Phone) Chief of Police Tipton County Memorial Hospital 765.458.7492 (Fax) Governor’s Commission for Tipton County Prosecutor [email protected] a Drug Free Indiana (Andrea Joines) Healthy Families Tom Dolezal, County Commissioner Jeff Drozda, State Representative VOICE/TYMAD/SADD
Coalition Coordinator: Tipton County Memorial Hospital Debby Bennington 1000 South Main Street Tipton, IN 46072 765.675.8741 (Phone) 765.675.6952 (Fax) [email protected]
164 2004-2005 ANNUAL REPORT
Vanderburgh County Coalition Coordinator: University of Evansville Indiana adult smoking prevalence: 24.9% Johnny Kincaid 1605 John Street Regional adult smoking prevalence: Southwest: 26.8% Evansville, IN 47714 812.467.0728 (Phone) Indiana youth smoking prevalence: Middle School- 7.8% 812.467.0738 (Fax) High School- 21.3% [email protected]
Percent of women in County who report smoking during pregnancy: 22.8% Evansville Minority Tobacco Prevention and Cessation Project
Tobacco-Related Policies Minority-based Tobacco Control Coalition
County Buildings County Funding 01/01/03-12/31/03: $65,600 All Government Buildings County Funding 01/01/04-06/30/05: $68,250 City Buildings Evansville City Buildings American Cancer Society NAACP School Districts with Tobacco-free Campuses Carver Community Organization PharmASSIST None Reported Community Action Program of Evansville Respect, Inc. Hospitals Evansville Housing Authority Smokefree Communities Deaconess Cross Pointe Center LLC Evansville Minister's Wives Council Vanderburgh County Deaconess Hospital Inc. Corrections Complex St. Mary’s Medical Center of Evansville, Inc. Fulton-Caldwell Resident Vanderburgh County Grassroots Parks/Recreational Facilities Management Council Prevention Coalition Burdette Park Aquatic Center Impact Ministries Vanderburgh County Minority Other Health Coalition 120 smoke-free restaurants Memorial Community YMCA American General Development Corporation Berry Plastics Crescent Plastics Coalition Coordinator: Eastland Mall RESPECT, INC. Indiana Business College Bonita Stewart/Diane Clements Ivy Tech Buildings 500 Court Street Lowe’s Evansville, IN, 47708 Raben Tire 812.428.8500 (Phone) RC Cola 812.435.0535 (Fax) USI Buildings [email protected] UE Buildings [email protected]
County Funding 01/01/03-12/31/03: $234,498 County Funding 01/01/04-06/30/05: $286,000 (amount divided between Vanderburgh and Warrick counties)
Community-based Tobacco Control Coalition ALCOA Warrick Operations New Hope Baptist Church American Cancer Society St. Mary's Hospital American Heart Association Star Power American Lung Association Substance Abuse Council Bethel Temple Community Church Tri-State Rehabilitation Hospital Chancellor Center for Oncology United Methodist Church Deaconess Family Practice Center University of Evansville Deaconess Women's Hospital University of Southern Indiana ECHO Vanderburgh County Department of Corrections Evansville-Vanderburgh Vanderburgh County School Corporation Health Deptartment Hoosier Faith and Health Coalition Warrick County School Corporation IU School of Medicine Welborn Health Plans Memorial Baptist Church YMCA Diamonds Memorial Baptist Church youth group Youth As Resources Metropolitan Evansville Youth First Chamber of Commerce Minor Emergency Center
165 2004-2005 ANNUAL REPORT
Vermillion County Vigo County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Central-west: 33.8% Regional adult smoking prevalence: Central-west: 33.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 26.3% Percent of women in County who report smoking during pregnancy: 27%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Courthouse City Buildings Annex Clinton City Buildings City Buildings School Districts with Tobacco-free Campuses Terre Haute City Parks South Vermillion Community School Corporation Terre Haute City Fire Hospitals Terre Haute City Police No Smoke-free Hospital Campus Reported Terre Haute City Hall Parks/Recreational Facilities School Districts with Tobacco-free Campuses Clinton City Parks No Schools with Tobacco-free Campuses Newport City Parks Hospitals Cayuga City Parks Union Hospital Inc. Other Terre Haute Regional Hospital 7 smoke-free restaurants = 32% of all resturants Parks/Recreational Facilities None Reported County Funding 01/01/03-12/31/03: $42,700 Other County Funding 01/01/04-06/30/05: $50,864 None Reported
Community-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $129,000 Afternoon's ROCK Drug Newport Church of God County Funding 01/01/04-06/30/05: $154,969 Prevention Program American Cancer Society Newport Vermillion County Library Community-based Tobacco Control Coalition CHANCES for Indiana Youth North Vermillion School Corporation- NV American Cancer Society Teen Court Elementary and Jr./Sr. High School Indiana State University Vigo County Health Department Dr. Greg Brock's Office Purdue Extension Office- 4-H Maternal Health Clinic/ Union Hospital Vigo VOICE Governor’s Commission for South Vermillion School Corporation- Mental Health Association West Central Indiana Area a Drug-Free Indiana Van Dyne, Central and Ernie Pyle Health Education Center Elementaries, SV Middle School, Ryves Hall Youth Center Youth As Resources SV High School Hamilton Center Starting Line Café Coalition Coordinator: Local Coordinating Council for Vermillion County Helaht Department Indiana Communities for Drug-Free Youth, dba C.H.A.N.C.E.S. a Drug-Free Vermillion County Carrie Evans Mr. Gatti's and Dairy Queen restaurants VOICE Kelly Center, 444 South 6th Street Terre Haute, IN 47807 Coalition Coordinator: 812.232.5190 (Phone) Indiana Communities for Drug-Free Youth, dba C.H.A.N.C.E.S. 812.234.0711 (Fax) Angela Taylor [email protected] P.O. Box 14 Newport, IN 47966 812.208.5708 (Phone) 765.492.5836 (Fax) [email protected]
166 2004-2005 ANNUAL REPORT
Minority Health Coalition of Vigo County Wabash County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $37,400 Regional adult smoking prevalence: North-central: 25.1% County Funding 01/01/04-06/30/05: $20,000 Indiana youth smoking prevalence: Middle School- 7.8% Ila Churchill – Cessation Facilitator High School- 21.3% Valerie Craig – Mentoring Mothers Program Anjelica Dortch – Youth Programs Percent of women in County who report smoking during pregnancy: 26.1% Sanae Glendening – Vigo County School Corporation Makeeba Henderson – Cessation Facilitator Tobacco-Related Policies Billie Kaufman – Tobacco Prevention and Cessation Ann Smith – Vigo County School Corporation County Buildings LaNeeca R. Williams – Minority Health Coalition of Vigo County Inc. Courthouse Janice Williams – Tobacco Control Coordinator Jail Tiffany Johnson – Tobacco Control Administrative Assistant County Garage City Buildings Coalition Coordinator: Wabash City Hall LaNeeca R. Williams Wabash City Police 1628 Wabash Avenue Wabash City Sewage Terre Haute, IN 47803 Wabash City Fire 812.234.8713 (Phone) School Districts with Tobacco-free Campuses 812.234.8718 (Fax) Wabash County Schools [email protected] Manchester Community Schools Wabash City Schools Hospitals No Smoke-free Hospital Campus Reported Parks/Recreational Facilities No Policy Other Manchester College
County Funding 01/01/03-12/31/03: $53,800 County Funding 01/01/04-06/30/05: $28,893
Community-based Tobacco Control Coalition American Cancer Society Old Fellow Pizza Beauchamp & McSpadden Insurance Our Children, Our Future, Inc. Diehl Marchines, Inc. Southwood Elementary and Jr. High Schools Health Education, Inc. Wabash Elementary Schools Kiwanis-Wabash Ministerial Association- Wabash
Coalition Coordinator: Tobacco Free Pat Lynn Wabash, IN 46992 260.563.5153 (Phone) 260.563.2320 (Fax) [email protected]
167 2004-2005 ANNUAL REPORT
Warren County Warrick County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Central-west: 33.8% Regional adult smoking prevalence: Southwest: 26.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 20.8% Percent of women in County who report smoking during pregnancy: 16.1%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Warren County Jail County Office Building County Office Building City Buildings Purdue University AG Extension Office No Policy Division of Family and Child Services School Districts with Tobacco-free Campuses City Buildings Warrick County School Corporation Williamsport Town Hall Hospitals School Districts with Tobacco-free Campuses No Smoke-free Hospital Campus Reported No Schools with Tobacco-free Campuses Parks/Recreational Facilities Hospitals No Policy No Smoke-free Hospital Campus Reported Other Parks/Recreational Facilities 23 smoke-free restaurants None Reported Other County Funding 01/01/03-12/31/03: $64,499 None Reported County Funding 01/01/04-06/30/05: $286,000 (amount divided between Vanderburgh and Warrick counties) County Funding 01/01/03-12/31/03: $26,300 County Funding 01/01/04-06/30/05: $83,760 Community-based Tobacco Control Coalition (amount divided between Fountain and Warren counties) American Cancer Society St. John’s Catholic School / Church Alcoa, Warrick Operations St. Mary’s Warrick Hospital Community-based Tobacco Control Coalition Deaconess Women’s Hospital Tri-State Dental Hygienist American Cancer Society Indiana Criminal Justice Institute Governor's Commission for Warrick County Drug Free Council Attica Consolidated School Corporation Metropolitan School District a Drug-Free Indiana of Warren County Home Run Against Drugs Warrick County Health Department Church of the Nazarene, Covington Southeast Fountain School Corporation Mt. Gilead Baptist Warrick County Police Department Community Action Program, Inc. St. Vincent Williamsport Hospital Newburgh Police Department Warrick County School Corporation Covington Community Schools Super Test Oil Perinatal Advisory Board Warrick County Sheriff's Department Fountain/Warren County VOICE Health Department Coalition Coordinator: University of Evansville Coalition Coordinator: Johnny Kincaid Community Action Program, Inc. of Western Indiana 1605 John Street Kathy Walker Evansville, IN 47714 418 Washington Street, P.O. Box 188 812.467.0728 (Phone) Covington, IN, 47932 812.467.0738 (Fax) 765.793.4881 (Phone) [email protected] 765.793.4884 (Fax) [email protected]
168 2004-2005 ANNUAL REPORT
Washington County Wayne County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: Southeast: 30.5% Regional adult smoking prevalence: Central-east: 31.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 26.7% Percent of women in County who report smoking during pregnancy: 26.2%
Tobacco-Related Policies Tobacco-Related Policies County Buildings County Buildings Courthouse Courthouse Annex County Office Building City Buildings City Buildings Cambridge City Building Pekin Town Hall Centerville City Building School Districts with Tobacco-free Campuses Dublin City Building Salem Community Schools Greensfork Town Hall Hospitals Fountain City Town Hall No Smoke-free Hospital Campus Reported Hagerstown City Building Parks/Recreational Facilities Milton Town Hall None Reported Richmond City Building Other School Districts with Tobacco-free Campuses Community Centers Centerville-Abington Community Schools Nettle Creek School Corporation County Funding 01/01/03-12/31/03: $49,100 Northeastern Wayne Schools County Funding 01/01/04-06/30/05: $14,250 Richmond Community School Corporation Western Wayne Schools Community-based Tobacco Control Coalition Hospitals 4-H Lions' Club No Smoke-free Hospital Campus Reported CARE Mid-Southern Bank Parks/Recreational Facilities Chamber of Commerce Probation None Reported Child Abuse Council Salem Middle School Other County Council members Sheriff None Reported Dr. Apple Teen Challenge Dr. Ted Freidline Washington County Fair Board County Funding 01/01/03-12/31/03: $75,900 Easter Middle School Washington County Memorial Hospital County Funding 01/01/04-06/30/05: $37,950 Eastern Elementary School West Washington Elementary Eastern SADD West Washington SADD Community-based Tobacco Control Coalition Health Nurse WIC (Women, Infant, Children) Bound Free Peer Information Center at Hoosier Hills PACT YMCA Richmond High School Boys and Girls Club of Wayne County Reid Hospital Coalition Coordinator: Communities in Schools Richmond Community Schools Washington County Tobacco Coalition Dunn Mental Health Center Richmond State Hospital Sharon Purlee Earlham College Richmond/Wayne County Chamber 806 Martinsburg Road, Suite 203 Indiana University-East Rock Solid Ministries Salem, IN 47165 812.883.1446 (Phone) Coalition Coordinator: 812.883.0400 (Fax) Wayne County Government [email protected] Alan Williams P.O. Box 925 Richmond, IN 47375 765.967.9827 (Phone) 765.855.2482 (Fax) [email protected]
169 2004-2005 ANNUAL REPORT
New Life Church of Nazarene Wells County
Minority-based Tobacco Control Coalition Indiana adult smoking prevalence: 24.9%
County Funding 01/01/03-12/31/03: $47,600 Regional adult smoking prevalence: Northeast: 25.1% County Funding 01/01/04-06/30/05: $24,100 Indiana youth smoking prevalence: Middle School- 7.8% Agape Training Systems – Brenda Bentley, CEO High School- 21.3% Bethel / A.M.E. Church – Dr. John Holbert Bethesda Ministries Dream Center – Sharon Brandley & Pastor Rich McCarty Percent of women in County who report smoking during pregnancy: 17.4%
Coalition Coordinator: Tobacco-Related Policies Pastor Ron Chappell New Life Church of the Nazarene County Buildings 56 Northwest “H” Street All County Buildings P.O. Box 2238 City Buildings Richmond, IN 47374 Bluffton City Buildings 765.966.2797 (Phone) School Districts with Tobacco-free Campuses 765.973.9125 (Fax) No Schools with Tobacco-free Campuses [email protected] Hospitals No Smoke-free Hospital Campus Reported Parks/Recreational Facilities None Reported Other None Reported
County Funding 01/01/03-12/31/03: $49,300 County Funding 01/01/04-06/30/05: $26,000
Community-based Tobacco Control Coalition American Cancer Society Norwell FFA Chapter Bluffton Police Department Purdue Cooperative Extension Service- Wells County Bluffton Regional Medical Center Southern Wells Community Schools Boys & Girls Club of Wells County Southern Wells FFA Chapter Caylor-Nickel Foundation Wells County Health Department Governor's Commission for Wells County Teen Court a Drug-Free Indiana
Coalition Coordinator: Caylor-Nickel Foundation Molly Lesnet 311 South Scott Street Bluffton, IN 46714 260.824.5019 (Phone) 260.824.7054 (Fax) [email protected]
170 2004-2005 ANNUAL REPORT
White County Whitley County
Indiana adult smoking prevalence: 24.9% Indiana adult smoking prevalence: 24.9%
Regional adult smoking prevalence: North-central: 25.1% Regional adult smoking prevalence: Southwest: 26.8%
Indiana youth smoking prevalence: Middle School- 7.8% Indiana youth smoking prevalence: Middle School- 7.8% High School- 21.3% High School- 21.3%
Percent of women in County who report smoking during pregnancy: 18.6% Percent of women in County who report smoking during pregnancy: 22.4%
Tobacco-Related Policies Tobacco-Related Policies
County Buildings County Buildings Courthouse Post Office City Buildings Courthouse Monticello City Hall City Buildings Monon Town Hall Columbia City Hall Wolcott Town Hall Columbia City Utilities Brookston Town Hall Churubusco Town Hall Monticello Union Township Library South Whitley Public Library (No smoking on grounds) South Whitley Town Hall School Districts with Tobacco-free Campuses South Whitley Utilities North White School Corporation Peabody Public Library Hospitals School Districts with Tobacco-free Campuses No Smoke-free Hospital Campus Reported Smith-Green Community Schools Parks/Recreational Facilities Whitley County Consolidated Schools None Reported Hospitals Other No Smoke-free Hospital Campus Reported None Reported Parks/Recreational Facilities Columbia City Parks County Funding 01/01/03-12/31/03: $47,900 Other County Funding 01/01/04-06/30/05: $30,000 None Reported
Community-based Tobacco Control Coalition County Funding 01/01/03-12/31/03: $51,200 Arnett Clinic Step Ahead County Funding 01/01/04-06/30/05: $15,679 Brookston Prairie Township Sterrett's Liquor Store Public Library Community-based Tobacco Control Coalition Chamber of Commerce Tri-County Schools American Cancer Society, IPFW, Nila Reimer DFC Twin Lakes Schools Carmen Parker Dr. Laurel Eakin White County 4-H Anna Reimer The Governor's Commission for Dr. Reinhold, DDS White County Community Foundation a Drug-Free Indiana, Denise Post Frontier Schools White County Department of Health Bowen Center, Cari Herron Whitko High School Vice Principal, Head Start White County Industrial Foundation Steve Mundy Healthy Families White County Literacy Volunteers Greggory Hockemeyer Whitley Parkview Hospital, Monon Public Library White County Memorial Hospital Jill McAllister Monticello Medical Center White County United Way Monticello Union Township WIC Area IV Council on Aging Coalition Coordinator: Public Library Drug Free Whitley County North White Schools Wolcott Christian Church Patty Weybright Probation Department Wolcott Public Library 111 North Main Street Station 66 South Whitley, IN 46787 260.723.5911 (Phone) Coalition Coordinator: 260.723.5911 (Fax) Partners for a Drug Free White County [email protected] Joan Ginter P.O. Box 361 Monticello, IN 47960 574.583.9864 (Phone) 574.583.4706 (Fax) [email protected]
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Schools with Tobacco-free Campus Policies: County School Franklin No Tobacco Free Schools County School Fulton Rochester Adams Adams Central Community Schools Caston North Adams Community Schools Tippecanoe Valley Allen MSD Southwest Allen County Gibson No Tobacco Free Schools Bartholomew Flatrock-Hawcreek Grant Oak Hill Jr-Sr High School Bartholomew Consolidated Greene Linton-Stockton Schools Benton No Tobacco Free Schools White River Valley High Blackford Blackford Community Eastern Greene Boone Zionsville Community Bloomfield Lebanon Hamilton No Tobacco Free Schools Western Boone Hancock Greenfield-Central Community Brown Brown County Mt. Vernon Community Carroll Carroll Consolidated Southern Hancock Community Delphi School Corporation Harrison Lanesville Cass Logansport Community South Harrison Community Southeastern Community North Harrison Community Pioneer Community Hendricks Mill Creek Community School Corporation Clark No Tobacco Free Schools Avon Community School Corporation Clay Clay Community Brownsburg Community Clinton Rossville Consolidated School Corporation Clinton Prairie Henry No Tobacco Free Schools Crawford No Tobacco Free Schools Howard Kokomo-Center Township Schools Daviess No Tobacco Free Schools Western Schools Corporation Dearborn No Tobacco Free Schools Huntington Huntington County Community Decatur Decatur County Community Jackson No Tobacco Free Schools Greensburg Community Jasper No Tobacco Free Schools DeKalb No Tobacco Free Schools Jay No Tobacco Free Schools Delaware Harrison-Wash Community Jefferson No Tobacco Free Schools School Corporation Jennings No Tobacco Free Schools Liberty-Perry Johnson Nineveh-Hensley-Jackson Mt. Pleasant Township Clark-Pleasant Community Cowan School School Corporation Daleville Community Edinburgh Community Dubois Northeast Dubois School Corporation Southeast Dubois Knox No Tobacco Free Schools Southwest Dubois Kosciusko Tippecanoe Valley School Corporation Greater Jasper LaGrange Prairie Heights Community Elkhart Baugo Community Lakeland Schools Goshen Community Westview Schools Elkhart Community Lake Gary Community School Corporation Concord Community Hanover Community School Corporation Wa-Nee Community Schools La Porte New Durham Community Schools Middlebury Community New Prairie Schools Fayette Fayette County Lawrence North Lawrence Community Floyd No Tobacco Free Schools Madison South Madison Community Fountain No Tobacco Free Schools Elwood Community School Corporation 2004-2005 ANNUAL REPORT
County School County School Marion Flanner House Learning Inc. Ripley Batesville Community School Corporation Franklin Township Community South Ripley Community School Corporation School Corporation Decatur Township Milan Community Schools Lawrence Township Jac-Cen-Del Community Warren Township School Corporation Pike Township Rush Rush County Schools Flanner House Elementary School Scott No Tobacco Free Schools School Town of Speedway Shelby Northwestern Schools of Shelby County Perry Township Southwestern Consolidated Schools Washington Township Shelby Eastern Schools Marshall Argos Community Schools Shelbyville Central Schools Plymouth Community Spencer South Spencer County School Corporation Martin No Tobacco Free Schools North Spencer County School Corporation Miami Maconaquah School Corporation St. Joseph Penn Harris Madison School Corporation Peru Community John Glenn School Corporation Monroe Monroe County Community School City of Mishawaka Richland-Bean Blossom Community Starke North Judson San Pierre Montgomery Crawfordsville Community School Corporation North Montgomery School Corporation Steuben No Tobacco Free Schools Morgan MSD of Martinsville Sullivan Southwest School Corporation Mooresville Consolidated Switzerland No Tobacco Free Schools Newton No Tobacco Free Schools Tippecanoe No Tobacco Free Schools Noble West Noble School Corporation Tipton St. John’s Elementary Ohio No Tobacco Free Schools Northern Community School Orange No Tobacco Free Schools Tipton County Owen Spencer-Owen Community Union No Tobacco Free Schools Parke Rockville Community School Corporation Vanderburgh No Tobacco Free Schools Southwest Parke Community Schools Vermillion South Vermillion Community Schools Perry Tell City-Troy Township Vigo No Tobacco Free Schools School Corporation Wabash Manchester Community School Cannelton City Schools Wabash County Schools Perry Central Community Wabash City Schools Schools Corporation Warren No Tobacco Free Schools Pike No Tobacco Free Schools Warrick Warrick County School Corporation Porter East Porter County School Corporation Washington Salem Community Schools Porter Township School Corporation Wayne Richmond Community Schools Union Township School Corporation Centerville-Abington Schools Duneland School Corporation Nettle Creek Community Schools Valparaiso Community Schools Western Wayne Schools Porter Township School Corporation Northeastern Wayne Schools Portage Township School Corporation Wells No Tobacco Free Schools Posey Mt. Vernon White North White Schools Pulaski No Tobacco Free Schools Whitley Smith-Green Community Putnam North Putnam School Corporation Whitley County Consolidated South Putnam School Corporation Randolph Randolph Central School Corporation 2004-2005 ANNUAL REPORT
Hospitals with Tobacco-free Campus Policies: County Hospital Name Marshall St. Joseph Regional Medical Center County Hospital Name at Plymouth Adams Adams Memorial Hospital Community Hospital of Bremen Adams Health Network Monroe Bloomington Hospital Cass Memorial Hospital Morgan St. Francis Hospital Clinton Frankfort St. Vincent Perry Perry County Memorial Hospital Dubois St. Joseph's Hospital Putnam Putnam County Hospital Memorial Hospital Randolph St. Vincent Randolph Hospital Elkhart Elkhart General Hospital Rush Rush Memorial Hospital Fulton Woodlawn Hospital St. Joseph Memorial Hospital Health System Gibson Gibson General Hospital Saint Joseph Regional Medical Center Hamilton Riverview Vanderburgh/Warrick Deaconess Hancock Hancock Memorial Hospital St. Mary's and Health Services Vigo Terre Haute Regional Hospital Hendricks Clarian West Medical Center Union Hospital Hendricks Regional Health Johnson Johnson Memorial Hospital County Buildings with Tobacco-free Policies St. Francis Knox Good Samaritan Hospital County Building Madison St. Vincent Mercy- Elwood Adams County Office Building Marion Clarian Health Partners Inc. D/B/A Courthouse Methodist, IU, Riley Hospital Allen Ordinance: No Smoking in Public Places Community Hospital South Bartholomew County Office Buildling Community Hospital East Benton Community Center Community Hospitals of Indiana (North) Courthouse Fairbanks Hospital Inc. Blackford Jail Heart Center of Indianapolis Courthouse Indiana Heart Hospital Boone County Office Building Kindred Hospital, Indianapolis Courthouse Larue D. Carter Memorial Hospital Brown Courthouse Rehabilitation Hospital of Indiana Highway Department Rehabilitation Hospital of Indiana Carroll Courthouse at St. Vincent Sheriff Department Select Specialty Hospital - Beech Grove Cass County Office Building Select Specialty Hospital - Indianapolis Sheriff Department St. Elizabeth Ann Seton Hospital Clay County Office Building of Indianapolis Clinton County Office Building St. Francis Hospital and Health Centers Courthouse St. Vincent Hospital and Health Services Crawford All Buildings St. Vincent Pediatric Rehabilitation Daviess Courthouse Center, Inc. Dearborn County Office Building Westview Hospital Decatur Sheriff Department William N. Wishard Memorial Hospital DeKalb County Office Building Courthouse
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County Building County Building Delaware County Buildings LaGrange Courthouse, Annex Dubois Courthouse Lake Courthouse County Buildings County Office Building Elkhart Courthouse LaPorte County Office Building Sheriff Department Lawrence Courthouse Fayette Courthouse Sheriff Department Floyd Courthouse Madison County Office Building Annex Health Department License Branch Marion County Office Building Animal Shelter Marshall County Office Building Fountain Courthouse Martin Courthouse Ambulance Service Miami Courthouse Health Department Monroe Ordinance: No Smoking in Public Places Jail Health Services Building Welfare Department Airport Franklin Courthouse Curry Building Fulton All County Buildings Garage Gibson All County Buildings County Office Building Grant Sheriff Department Courthouse County Office Building Youth Shelter Building Greene All Buildings Montgomery Courthouse Hamilton Courthouse Garage Govenment & Judicial Center Annex Hancock Courthouse Morgan Ordinance: No Smoking in Public Places All County Buildings County Office Building Harrison County Office Building Courthouse Courthouse Newton Courthouse Hendricks All County Buildings Noble All County Buildings Henry Courthouse Owen All Buildings Howard County Office Building Parke Sheriff Department Huntington Jail Jail Courthouse Perry Courthouse Jackson Courthouse Jail Jail Community Center Jasper Courthouse County Memorial Hospital Jay County Office Building EMS Building Jefferson Courthouse Pike All County Buildings Jennings Courthouse Porter County Office Building County Office Building Posey County Office Building Johnson County Office Building Pulaski County Office Building Courthouse Courthouse Knox Courthouse, Annex Jail County Jail Annex Buildings Koscuiscko Justice Building Putnam Courthouse, Annex County Courthouse Jail 2004-2005 ANNUAL REPORT
County Building County Building Randolph Courthouse Wells All Buildings Community Center White Courthouse Ripley County Office Building Whitley Post Office Rush Courthouse Courthouse Scott Garage Courthouse Shelby Courthouse City Buildings with Tobacco-free Policies Criminal Justice Center Spencer All County Buildings County City Facility St. Joseph Library Adams Berne Park Pavilion Starke Sheriff Department Decatur Community Center Starke County Council on Aging Decatur City Police Annex Decatur City Fire Highway Department Decatur City Hall Courthouse Decatur City Parks Steuben Annex Berne City Hall Jail Allen Ordinance: No Smoking in Public Places Community Center Bartholomew Columbus City Buildings Courthouse Columbus City Parks Highway Department Benton Otterbein Town Hall Sullivan Courthouse Ambia Town Hall Welfare Department Fowler Town Hall Switzerland Courthouse Oxford Town Hall Tippecanoe All County Buildings Earl Park Town Hall Tipton County Office Building Boswell Town Hall Jail Blackford Hartford City City Building Union Courthouse Boone Zionsville City Fire Sheriff Department City Police Vanderburgh County Office Building Zionsville City Parks Vigo Courthouse Lebanon Abner Longley Annex Lebanon City Building Wabash Courthouse Brown Nashville City Parks Jail Nashville Town Hall County Garage Carroll Flora Town Hall Warren County Office Building Delphi City Building Jail Cass Logansport City Fire Welfare Department Logansport City Police Purdue University AG Extension Office Logansport City Utilities Warrick County Office Building Logansport City Parks Washington County Office Building Logansport City Building Courthouse Clark Jeffersonville City Parks Wayne Annex Clarksville Town Hall Courthouse Jeffersonville City Fire Jeffersonville City Housing Clarksville City Fire 176 2004-2005 ANNUAL REPORT
County City Facility County City Facility Clay Brazil City Buildings Fulton Akron Town Hall Clinton Kirklin City Building Fulton Town Hall Mulberry Town Hall Kewanna Town Hall Rossville Town Hall Rochester City Parks Frankfort City Building Rochester City Hall Daviess Odon City Hall Gibson Oakland City City Police Plainville Town Hall Princeton City Building Washington City Parks Princeton City Housing Washington City Hall Oakland City City Hall Dearborn Greendale City Building Oakland City City Water Lawrenceburg City Building Princeton City Parks Dillsboro City Building Grant Marion All City Offices Aurora City Building Hamilton Westfield City Building Decatur Greensburg City Police Fishers City Building Greensburg City Fire Noblesville City Building Greensburg City Hall Carmel City Hall Greensburg City Water Cicero City Building DeKalb Auburn City Parks Hancock Greenfield City Building Garrett City Hall Greenfield City Parks Butler City Hall Fortville Town Buildings Waterloo City Hall New Palsetine Town Buildings Delaware Muncie City Buildings Harrison Corydon Town Hall Dubois Jasper City Offices Harrison County City Parks Huntingburg City Offices Hendricks Avon City Building Elkhart Goshen City Police Danville City Building Nappanee City Hall Plainfield City Building Nappanee City Parks Henry New Castle City Building Goshen City Parks Howard Kokomo Cultural Center Elkhart City Buildings Kokomo City Building Elkhart City Parks Kokomo City Parks Middlebury Town Hall Huntington Huntington Street Department Wakarusa City Parks Huntington City Parks Fayette Connersville City Hall Huntington City Building Connersville City Parks Jackson Seymour City Fire Floyd New Albany City Housing Seymour City Police New Albany City Parks Seymour City Hall Fountain Covington City Hall Jasper Rensselaer City Hall Williamsport Town Hall Kentland Town Hall Attica City Building Jay Bryant City Building Franklin Brookville City Hall Dunkirk City Building Brookville City Police Redkey City Building Pennville City Building Portland City Building
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County City Facility County City Facility Jefferson Hanover City Building Marshall Bourbon City Offices Madison City Hall Culver City Offices Vevay Town Hall Argos City Offices Jennings North Vernon City Hall Bremen City Offices North Vernon City Police Plymouth City Offices Johnson Franklin City Building Martin Loogootee City Hall Bargersville Town Hall Loogootee City Parks Greenwood City Hall Shoals City Parks Edinburgh Town Hall Shoals Town Hall Prince's Lakes Town Hall Monroe Ordinance: No Smoking in Public Places New Whiteland Town Hall Bloomington City Sewage Whiteland Town Hall Bloomington City Transportation Trafalgar Town Hall Bloomington Animal Shelter Knox Vincennes City Jail Bloomington City Utilities Vincennes City Hall Bloomington Street Department Vincennes City Parks Bloomington City Parks Bicknell City Building Bloomington City Hall LaGrange LaGrange City Building Bloomington City Fire, City Police Topeka City Building Montgomery Crawfordsville City Sewage Shipshewana City Building Crawfordsville City Parks Lake Hammond City Hall Crawfordsville City Police Whiting City Hall Crawfordsville City Building East Chicago City Hall Crawfordsville City Fire Gary City Hall Crawfordsville Street Department Crown Point City Hall Morgan Ordinance: No Smoking in Public Places LaPorte Michigan City City Parks Martinsville City Hall LaPorte City Hall Martinsville City Parks LaPorte City Parks Mooresville City Parks Westville Town Hall Newton Kentland Town Hall Michigan City City Hall Noble Ligonier City Building Lawrence Bedford City Hall Avilla City Building Bedford City Police Albion City Building Bedford City Parks Kendallville City Building Mitchell City Parks Orange French Lick Town Hall Mitchell City Hall Paoli Town Hall Madison Alexandria City Building Orleans Town Hall Pendleton City Building Owen Gosport Town Hall Anderson City Police Spencer City Building Elwood City Building Parke Rockville City Parks Marion Indianapolis City Offices Rockville City Building Indianapolis Cultural Center Rockville Town Hall Indianapolis City Parks Montezuma Town Hall Indianapolis Fire Department Racoon Lake City Parks 2004-2005 ANNUAL REPORT
County City Facility County City Facility Perry Tell City City Police Scott Scottsburg City Hall Tell City City Building Scottsburg Warrior Reservation Tell City Cultural Center Scottsburg City Housing Cannelton Cultural Center Shelby Shelbyville City Hall Pike Spurgeon City Parks Shelbyville City Parks Spurgeon City Fire Shelbyville City Police Spurgeon Town Hall Spencer Santa Claus Town Hall Winslow Town Hall Rockport City Hall Winslow City Water Dale City Offices Winslow City Parks Chrisney Town Hall Petersburg City Sewage St. Joseph Mishawaka City Parks Petersburg City Water Mishawaka City Building Petersburg City Police South Bend City Parks Petersburg City Parks South Bend City Offices Petersburg City Hall Starke North Judson City Police Porter Portage City Building North Judson City Fire Valparaiso City Building North Judson Library Burns Harbor City Buildings Hamlet City Fire Kouts Town Hall Hamlet City Police Hebron Town Hall Hamlet Library Chesterton City Building Knox City Building Posey Mt. Vernon City Building Knox City Fire Pulaski No City Buildings San Pierre Library Putnam Cloverdale Town Hall Steuben Fremont Town Hall Cloverdale City Utilities Angola City Police Coatesville City Building Angola City Water Coatesville Town Hall Angola City Hall Roachdale City Office Sullivan Sullivan City Fire Greencastle City Building Sullivan City Building Fillmore Town Hall Sullivan City Parks Bainbridge City Building Sullivan City Hall Randolph Farmland Cultural Center Tippecanoe Lafayette City Building Parker City Building Lafayette City Parks Ridgeville City Building West Lafayette City Building Ridgeville Fire Department West Lafayette City Parks Ridgeville Library Tipton Tipton City Offices Ripley Batesville City Building Tipton City Police Batesville City Parks Tipton City Parks Liberty Park City Parks Sharpsville City Building Rush Rushville City Fire Kempton Town Hall Rushville Street Department Windfall Town Hall Rushville City Parks Union Liberty City Parks Rushville City Offices Liberty County Extension Rushville City Police Liberty Chamber
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County City Facility Vanderburgh Evansville City Building Vermillion Clinton City Parks Clinton City Building Cayuga City Parks Newport City Parks Vigo Terre Haute City Fire Terre Haute City Parks Terre Haute City Hall Terre Haute City Police Wabash Wabash City Fire Wabash City Police Wabash City Sewage Wabash City Hall Warren Williamsport Town Hall Washington Salem Community Center Pekin Town Hall Warrick No Policy Wayne Richmond City Building Cambridge City Building Centerville City Building Hagerstown City Building Fountain City Town Hall Greensfork Town Hall Milton Town Hall Dublin City Building Wells Bluffton City Buildings White Monon Town Hall Wolcott Town Hall Monticello City Hall Monticello Union Twp. Library Brookston Town Hall Whitley Columbia City City Hall Columbia City City Parks Columbia City City Utilities Churubusco Town Hall South Whitley Town Hall South Whitley Utilities South Whitley Public Library Peabody Public Library
180 Looking Forward